| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
12,533 |
7,251 |
$1.38M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,296 |
2,366 |
$1.31M |
| S9500 |
Hit antibiotic q24h diem |
16,054 |
1,694 |
$797K |
| S9342 |
Hit enteral pump diem |
4,766 |
2,490 |
$617K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,737 |
2,063 |
$397K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,314 |
2,925 |
$299K |
| S9502 |
Hit antibiotic q8h diem |
5,563 |
537 |
$289K |
| B4153 |
Ef hydrolyzed/amino acids |
1,206 |
702 |
$285K |
| S9501 |
Hit antibiotic q12h diem |
5,486 |
514 |
$271K |
| S9379 |
Hit noc per diem |
6,538 |
622 |
$212K |
| B4150 |
Ef complet w/intact nutrient |
3,265 |
1,956 |
$191K |
| B4149 |
Ef blenderized foods |
667 |
435 |
$156K |
| B4034 |
Enter feed supkit syr by day |
3,343 |
1,904 |
$123K |
| J0878 |
Daptomycin injection |
256 |
24 |
$85K |
| B9002 |
Enter nutr inf pump any type |
1,622 |
1,320 |
$60K |
| J3370 |
Vancomycin hcl injection |
2,879 |
217 |
$57K |
| S9343 |
Hit enteral bolus nurs |
819 |
413 |
$45K |
| 99601 |
|
678 |
278 |
$37K |
| B4154 |
Ef spec metabolic noninherit |
300 |
205 |
$34K |
| B4158 |
Ef ped complete intact nut |
206 |
123 |
$26K |
| B4088 |
Gastro/jejuno tube, low-pro |
860 |
733 |
$23K |
| A4223 |
Infusion supplies w/o pump |
4,142 |
206 |
$23K |
| B4155 |
Ef incomplete/modular |
504 |
349 |
$12K |
| B9998 |
Enteral supp not otherwise c |
199 |
167 |
$431.59 |
| A4221 |
Supp non-insulin inf cath/wk |
428 |
106 |
$267.60 |