| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
10,500 |
7,729 |
$1.44M |
| B4161 |
Ef ped hydrolyzed/amino acid |
3,576 |
3,095 |
$1.37M |
| S9342 |
Hit enteral pump diem |
29,253 |
1,471 |
$539K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,969 |
2,501 |
$401K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,720 |
2,155 |
$349K |
| B4149 |
Ef blenderized foods |
1,256 |
990 |
$344K |
| S9500 |
Hit antibiotic q24h diem |
4,436 |
730 |
$293K |
| B4153 |
Ef hydrolyzed/amino acids |
630 |
532 |
$291K |
| B4150 |
Ef complet w/intact nutrient |
2,264 |
1,709 |
$279K |
| 99601 |
|
4,157 |
1,587 |
$263K |
| B4185 |
Pn soln nos 10 grams lipids |
1,716 |
428 |
$231K |
| B4154 |
Ef spec metabolic noninherit |
979 |
873 |
$230K |
| S9494 |
Hit antibiotic total diem |
625 |
257 |
$191K |
| B4034 |
Enter feed supkit syr by day |
3,089 |
2,585 |
$167K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,324 |
1,291 |
$144K |
| S9343 |
Hit enteral bolus nurs |
13,413 |
577 |
$131K |
| S9340 |
Hit enteral per diem |
10,946 |
508 |
$109K |
| S9379 |
Hit noc per diem |
1,081 |
363 |
$104K |
| B4155 |
Ef incomplete/modular |
1,607 |
1,187 |
$102K |
| S9502 |
Hit antibiotic q8h diem |
467 |
85 |
$34K |
| B4087 |
Gastro/jejuno tube, std |
847 |
753 |
$33K |
| B4224 |
Parenteral administration ki |
362 |
87 |
$31K |
| B9002 |
Enter nutr inf pump any type |
208 |
205 |
$11K |
| B4220 |
Parenteral supply kit premix |
220 |
61 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
204 |
72 |
$3K |
| J3370 |
Vancomycin hcl injection |
47 |
12 |
$2K |
| 99602 |
Nursing care in home rn |
29 |
25 |
$1K |