| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
8,801 |
5,275 |
$1.94M |
| S9500 |
Hit antibiotic q24h diem |
6,009 |
883 |
$720K |
| 99601 |
|
7,775 |
3,069 |
$642K |
| S9502 |
Hit antibiotic q8h diem |
3,604 |
593 |
$587K |
| B4035 |
Enteral feed supp pump per d |
2,708 |
1,884 |
$307K |
| S9374 |
Hit hydra 1 liter diem |
1,589 |
355 |
$298K |
| A4222 |
Infusion supplies with pump |
8,986 |
1,115 |
$264K |
| S9343 |
Hit enteral bolus nurs |
2,113 |
1,388 |
$261K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,870 |
2,096 |
$253K |
| S9501 |
Hit antibiotic q12h diem |
1,378 |
223 |
$213K |
| S9341 |
Hit enteral grav diem |
777 |
553 |
$168K |
| S9366 |
Hit tpn 2 liter diem |
419 |
51 |
$152K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,103 |
1,730 |
$116K |
| B4150 |
Ef complet w/intact nutrient |
2,246 |
1,869 |
$110K |
| B9998 |
Enteral supp not otherwise c |
616 |
547 |
$74K |
| A4221 |
Supp non-insulin inf cath/wk |
4,175 |
1,783 |
$59K |
| S9330 |
Hit cont chem diem |
769 |
328 |
$57K |
| B4034 |
Enter feed supkit syr by day |
1,044 |
790 |
$57K |
| S5501 |
Hit complex cath care |
1,161 |
161 |
$51K |
| B4161 |
Ef ped hydrolyzed/amino acid |
155 |
144 |
$40K |
| B4154 |
Ef spec metabolic noninherit |
340 |
267 |
$38K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
181 |
146 |
$29K |
| B4149 |
Ef blenderized foods |
101 |
91 |
$19K |
| B4153 |
Ef hydrolyzed/amino acids |
60 |
54 |
$12K |
| E0781 |
External ambulatory infus pu |
42 |
42 |
$6K |
| B4036 |
Enteral feed sup kit grav by |
140 |
124 |
$6K |
| S9329 |
Hit chemo per diem |
109 |
39 |
$6K |
| B4155 |
Ef incomplete/modular |
383 |
341 |
$5K |
| S5502 |
Hit interim cath care |
118 |
94 |
$3K |