| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
15,850 |
12,888 |
$8.51M |
| S9342 |
Hit enteral pump diem |
19,973 |
13,521 |
$7.93M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
11,606 |
9,811 |
$1.79M |
| B4153 |
Ef hydrolyzed/amino acids |
2,327 |
2,031 |
$1.61M |
| B4035 |
Enteral feed supp pump per d |
9,048 |
8,448 |
$1.40M |
| B4149 |
Ef blenderized foods |
5,044 |
3,859 |
$1.21M |
| B4088 |
Gastro/jejuno tube, low-pro |
7,701 |
7,635 |
$820K |
| S9343 |
Hit enteral bolus nurs |
1,874 |
1,404 |
$626K |
| B4150 |
Ef complet w/intact nutrient |
2,279 |
1,907 |
$365K |
| E1390 |
Oxygen concentrator |
4,014 |
3,971 |
$352K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,324 |
1,928 |
$342K |
| B4155 |
Ef incomplete/modular |
7,009 |
5,662 |
$292K |
| E0601 |
Cont airway pressure device |
3,805 |
3,741 |
$148K |
| B4158 |
Ef ped complete intact nut |
595 |
463 |
$113K |
| B4154 |
Ef spec metabolic noninherit |
287 |
277 |
$113K |
| B4034 |
Enter feed supkit syr by day |
1,064 |
1,015 |
$88K |
| A7030 |
Cpap full face mask |
1,445 |
1,441 |
$86K |
| A4221 |
Supp non-insulin inf cath/wk |
1,292 |
956 |
$65K |
| S9338 |
Hit immunotherapy diem |
962 |
298 |
$63K |
| 99601 |
|
574 |
229 |
$56K |
| E0562 |
Humidifier heated used w pap |
1,060 |
1,014 |
$50K |
| A7031 |
Replacement facemask interfa |
2,102 |
2,094 |
$44K |
| E0570 |
Nebulizer with compression |
1,777 |
1,753 |
$43K |
| B9002 |
Enter nutr inf pump any type |
60 |
58 |
$31K |
| S9341 |
Hit enteral grav diem |
121 |
62 |
$29K |
| E0431 |
Portable gaseous 02 |
1,444 |
1,426 |
$26K |
| A7035 |
Pos airway press headgear |
1,692 |
1,687 |
$21K |
| A7034 |
Nasal application device |
506 |
505 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,044 |
1,044 |
$11K |
| B4082 |
Enteral ng tubing w/o stylet |
406 |
305 |
$11K |
| A4604 |
Tubing with heating element |
742 |
740 |
$10K |
| A7038 |
Pos airway pressure filter |
4,122 |
4,096 |
$9K |
| A7032 |
Replacement nasal cushion |
414 |
414 |
$7K |
| B4100 |
Food thickener oral |
237 |
230 |
$5K |
| B4087 |
Gastro/jejuno tube, std |
127 |
118 |
$4K |
| A7046 |
Repl water chamber, pap dev |
452 |
449 |
$3K |
| A7039 |
Filter, non disposable w pap |
121 |
121 |
$418.19 |
| A7003 |
Nebulizer administration set |
104 |
103 |
$213.49 |
| A7033 |
Replacement nasal pillows |
12 |
12 |
$204.19 |
| A4245 |
Alcohol wipes per box |
13 |
12 |
$21.63 |