| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
25,205 |
18,453 |
$4.52M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,120 |
3,378 |
$1.86M |
| S9500 |
Hit antibiotic q24h diem |
4,526 |
1,169 |
$1.17M |
| B4185 |
Pn soln nos 10 grams lipids |
7,952 |
1,624 |
$1.16M |
| A4223 |
Infusion supplies w/o pump |
2,538 |
1,070 |
$1.12M |
| B4153 |
Ef hydrolyzed/amino acids |
2,315 |
1,892 |
$1.02M |
| 99601 |
|
8,802 |
3,774 |
$937K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
5,550 |
4,496 |
$892K |
| B4152 |
Ef calorie dense>/=1.5kcal |
8,083 |
5,992 |
$887K |
| B4149 |
Ef blenderized foods |
2,574 |
1,942 |
$868K |
| S9366 |
Hit tpn 2 liter diem |
993 |
231 |
$683K |
| B4034 |
Enter feed supkit syr by day |
8,135 |
5,820 |
$649K |
| B4150 |
Ef complet w/intact nutrient |
6,864 |
5,073 |
$575K |
| S9342 |
Hit enteral pump diem |
10,113 |
1,095 |
$391K |
| S9379 |
Hit noc per diem |
3,238 |
898 |
$363K |
| B4154 |
Ef spec metabolic noninherit |
1,514 |
1,074 |
$316K |
| S9502 |
Hit antibiotic q8h diem |
1,026 |
238 |
$293K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,168 |
3,890 |
$266K |
| B4036 |
Enteral feed sup kit grav by |
2,287 |
1,610 |
$199K |
| B4158 |
Ef ped complete intact nut |
988 |
811 |
$109K |
| A4221 |
Supp non-insulin inf cath/wk |
3,010 |
1,547 |
$73K |
| B4155 |
Ef incomplete/modular |
2,659 |
2,067 |
$59K |
| B9002 |
Enter nutr inf pump any type |
1,104 |
915 |
$51K |
| B4224 |
Parenteral administration ki |
361 |
74 |
$20K |
| B9998 |
Enteral supp not otherwise c |
487 |
459 |
$20K |
| B4082 |
Enteral ng tubing w/o stylet |
432 |
364 |
$14K |
| 99602 |
Nursing care in home rn |
151 |
131 |
$13K |
| A4222 |
Infusion supplies with pump |
141 |
68 |
$10K |
| B4220 |
Parenteral supply kit premix |
329 |
73 |
$6K |
| J0690 |
Cefazolin sodium injection |
102 |
24 |
$3K |
| B4087 |
Gastro/jejuno tube, std |
109 |
93 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
76 |
28 |
$1K |
| E0776 |
Iv pole |
13 |
12 |
$1K |