| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
11,329 |
2,354 |
$1.02M |
| B4035 |
Enteral feed supp pump per d |
7,888 |
5,904 |
$917K |
| S9342 |
Hit enteral pump diem |
36,691 |
2,227 |
$794K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,062 |
907 |
$417K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,940 |
2,182 |
$362K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,566 |
2,723 |
$320K |
| 99601 |
|
4,786 |
1,943 |
$319K |
| B4185 |
Pn soln nos 10 grams lipids |
1,829 |
494 |
$311K |
| B4150 |
Ef complet w/intact nutrient |
3,706 |
2,490 |
$282K |
| S9502 |
Hit antibiotic q8h diem |
2,819 |
537 |
$241K |
| B4105 |
Enzyme cartridge enteral nut |
44 |
42 |
$204K |
| S9379 |
Hit noc per diem |
1,410 |
341 |
$148K |
| B4153 |
Ef hydrolyzed/amino acids |
268 |
240 |
$146K |
| S9501 |
Hit antibiotic q12h diem |
1,465 |
279 |
$130K |
| B4224 |
Parenteral administration ki |
913 |
231 |
$90K |
| B4088 |
Gastro/jejuno tube, low-pro |
730 |
722 |
$69K |
| B4034 |
Enter feed supkit syr by day |
2,482 |
1,603 |
$64K |
| B4036 |
Enteral feed sup kit grav by |
922 |
723 |
$57K |
| B4154 |
Ef spec metabolic noninherit |
231 |
155 |
$41K |
| B9002 |
Enter nutr inf pump any type |
571 |
558 |
$40K |
| J1335 |
Ertapenem injection |
236 |
80 |
$27K |
| B4220 |
Parenteral supply kit premix |
711 |
201 |
$26K |
| B4087 |
Gastro/jejuno tube, std |
594 |
548 |
$23K |
| J0878 |
Daptomycin injection |
141 |
39 |
$16K |
| S9343 |
Hit enteral bolus nurs |
1,202 |
64 |
$11K |
| B4155 |
Ef incomplete/modular |
220 |
192 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
445 |
188 |
$10K |
| J3370 |
Vancomycin hcl injection |
244 |
61 |
$10K |
| E0776 |
Iv pole |
369 |
365 |
$6K |