| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
71,051 |
4,005 |
$1.84M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,335 |
1,089 |
$869K |
| 99601 |
|
7,011 |
2,401 |
$795K |
| S9340 |
Hit enteral per diem |
59,823 |
2,640 |
$591K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,101 |
2,699 |
$546K |
| S9500 |
Hit antibiotic q24h diem |
11,465 |
1,090 |
$534K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,599 |
1,713 |
$308K |
| S9502 |
Hit antibiotic q8h diem |
3,735 |
322 |
$198K |
| A4223 |
Infusion supplies w/o pump |
7,745 |
1,017 |
$169K |
| E0781 |
External ambulatory infus pu |
9,743 |
524 |
$154K |
| S9501 |
Hit antibiotic q12h diem |
3,002 |
288 |
$151K |
| S9343 |
Hit enteral bolus nurs |
8,539 |
550 |
$138K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,126 |
971 |
$123K |
| B4155 |
Ef incomplete/modular |
420 |
358 |
$49K |
| S9379 |
Hit noc per diem |
987 |
110 |
$44K |
| B4149 |
Ef blenderized foods |
135 |
100 |
$39K |
| B4150 |
Ef complet w/intact nutrient |
375 |
210 |
$31K |
| B4035 |
Enteral feed supp pump per d |
7,293 |
507 |
$30K |
| B4034 |
Enter feed supkit syr by day |
1,572 |
129 |
$6K |
| B4154 |
Ef spec metabolic noninherit |
15 |
12 |
$2K |