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B4159
Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
Medicaid paid $23K on code B4159 from 2018 through 2024, to 2 providers — the #7,266 code in the file by dollars. 50% of it was billed in Colorado.
28Total paid$23K
24GClaims128
Paid per claim line$179.29
33Providers billing it2
Box 32 · Location
Where B4159 is billed
The largest of 2 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing B4159
| # | Provider | Location | Claims | Paid on B4159 |
|---|---|---|---|---|
| 1 | Option 1 Nutrition Solutions LLC | Denver, CO | 65 | $12K |
| 2 | Indiana University Health, INC | Indianapolis, IN | 63 | $11K |