| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
40,378 |
21,050 |
$8.27M |
| B4161 |
Ef ped hydrolyzed/amino acid |
8,345 |
5,874 |
$5.56M |
| B4189 |
Parenteral sol amino acid & |
3,537 |
840 |
$3.37M |
| S9500 |
Hit antibiotic q24h diem |
11,567 |
3,906 |
$2.80M |
| B4185 |
Pn soln nos 10 grams lipids |
12,714 |
2,898 |
$2.10M |
| B4149 |
Ef blenderized foods |
5,531 |
3,883 |
$1.36M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
10,172 |
6,553 |
$1.34M |
| 99601 |
|
12,196 |
5,141 |
$1.20M |
| S9343 |
Hit enteral bolus nurs |
7,361 |
4,058 |
$1.11M |
| S9502 |
Hit antibiotic q8h diem |
3,211 |
1,237 |
$930K |
| S9501 |
Hit antibiotic q12h diem |
3,216 |
1,019 |
$810K |
| S9366 |
Hit tpn 2 liter diem |
3,669 |
805 |
$802K |
| B4153 |
Ef hydrolyzed/amino acids |
2,421 |
1,705 |
$793K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,902 |
5,423 |
$715K |
| S9374 |
Hit hydra 1 liter diem |
5,406 |
1,567 |
$706K |
| B4152 |
Ef calorie dense>/=1.5kcal |
7,543 |
5,721 |
$680K |
| B4150 |
Ef complet w/intact nutrient |
7,233 |
5,317 |
$603K |
| B4197 |
Parenteral sol 74-100 gm pro |
748 |
183 |
$446K |
| J1559 |
Hizentra injection |
449 |
114 |
$391K |
| B4154 |
Ef spec metabolic noninherit |
1,729 |
1,364 |
$358K |
| S9338 |
Hit immunotherapy diem |
3,334 |
1,496 |
$347K |
| B4035 |
Enteral feed supp pump per d |
4,278 |
3,170 |
$315K |
| B4155 |
Ef incomplete/modular |
3,230 |
2,459 |
$236K |
| 99602 |
Nursing care in home rn |
1,876 |
1,146 |
$213K |
| S9367 |
Hit tpn 3 liter diem |
723 |
189 |
$211K |
| S9542 |
Ht inj noc per diem |
4,781 |
1,775 |
$210K |
| B4105 |
Enzyme cartridge enteral nut |
42 |
38 |
$180K |
| B4103 |
Ef ped fluid and electrolyte |
1,450 |
1,058 |
$146K |
| B4193 |
Parenteral sol 52-73 gm prot |
207 |
52 |
$140K |
| B4224 |
Parenteral administration ki |
3,019 |
665 |
$139K |
| S9340 |
Hit enteral per diem |
297 |
193 |
$77K |
| B4220 |
Parenteral supply kit premix |
2,986 |
655 |
$65K |
| S9341 |
Hit enteral grav diem |
456 |
250 |
$65K |
| B4162 |
Ef ped specmetabolic inherit |
80 |
66 |
$53K |
| S9331 |
Hit intermit chemo diem |
774 |
309 |
$48K |
| B4034 |
Enter feed supkit syr by day |
1,871 |
1,530 |
$44K |
| B9002 |
Enter nutr inf pump any type |
759 |
725 |
$44K |
| S9359 |
Hit anti-tnf per diem |
288 |
272 |
$23K |
| S5502 |
Hit interim cath care |
330 |
234 |
$20K |
| J3490 |
Drugs unclassified injection |
43 |
12 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
383 |
57 |
$12K |
| S9379 |
Hit noc per diem |
41 |
14 |
$7K |
| A4222 |
Infusion supplies with pump |
99 |
49 |
$3K |
| B4087 |
Gastro/jejuno tube, std |
74 |
61 |
$3K |
| A4221 |
Supp non-insulin inf cath/wk |
102 |
55 |
$2K |
| J9260 |
Inj methotrexate sodium 50mg |
529 |
216 |
$2K |
| B4100 |
Food thickener oral |
15 |
13 |
$909.80 |
| E0776 |
Iv pole |
104 |
103 |
$396.95 |