| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
9,537 |
7,234 |
$2.95M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
12,311 |
6,789 |
$1.68M |
| B4161 |
Ef ped hydrolyzed/amino acid |
7,568 |
3,449 |
$1.61M |
| B4035 |
Enteral feed supp pump per d |
17,119 |
7,589 |
$1.01M |
| B4149 |
Ef blenderized foods |
4,719 |
2,329 |
$658K |
| S9500 |
Hit antibiotic q24h diem |
3,833 |
1,121 |
$596K |
| B9002 |
Enter nutr inf pump any type |
13,960 |
6,922 |
$371K |
| B4152 |
Ef calorie dense>/=1.5kcal |
6,169 |
3,485 |
$338K |
| B4150 |
Ef complet w/intact nutrient |
3,018 |
1,521 |
$125K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,202 |
3,650 |
$121K |
| G0299 |
Hhs/hospice of rn ea 15 min |
3,184 |
867 |
$114K |
| S9343 |
Hit enteral bolus nurs |
506 |
386 |
$88K |
| B4158 |
Ef ped complete intact nut |
1,540 |
635 |
$87K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
2,195 |
601 |
$84K |
| B4154 |
Ef spec metabolic noninherit |
970 |
559 |
$83K |
| B4034 |
Enter feed supkit syr by day |
2,278 |
1,243 |
$64K |
| S9502 |
Hit antibiotic q8h diem |
353 |
104 |
$60K |
| B4155 |
Ef incomplete/modular |
2,900 |
1,768 |
$40K |
| B4185 |
Pn soln nos 10 grams lipids |
459 |
118 |
$38K |
| B4153 |
Ef hydrolyzed/amino acids |
191 |
90 |
$34K |
| S9330 |
Hit cont chem diem |
370 |
213 |
$33K |
| S5501 |
Hit complex cath care |
255 |
155 |
$26K |
| B4103 |
Ef ped fluid and electrolyte |
506 |
212 |
$22K |
| S9379 |
Hit noc per diem |
82 |
26 |
$16K |
| J1050 |
Medroxyprogesterone acetate |
130 |
129 |
$10K |
| J9190 |
Fluorouracil injection |
606 |
311 |
$9K |
| S9501 |
Hit antibiotic q12h diem |
38 |
12 |
$8K |
| J3370 |
Vancomycin hcl injection |
182 |
25 |
$7K |
| 96372 |
|
284 |
247 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
64 |
14 |
$499.76 |
| A4221 |
Supp non-insulin inf cath/wk |
38 |
13 |
$85.86 |
| 90460 |
|
17 |
17 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
18 |
14 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |