| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
8,671 |
7,757 |
$1.19M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,356 |
2,118 |
$1.17M |
| B4150 |
Ef complet w/intact nutrient |
4,498 |
4,121 |
$523K |
| B4153 |
Ef hydrolyzed/amino acids |
1,386 |
1,276 |
$522K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,062 |
3,627 |
$473K |
| B4149 |
Ef blenderized foods |
1,505 |
1,391 |
$455K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,627 |
2,397 |
$395K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,263 |
2,220 |
$188K |
| B9002 |
Enter nutr inf pump any type |
3,002 |
2,935 |
$156K |
| B4034 |
Enter feed supkit syr by day |
2,719 |
2,471 |
$129K |
| S9500 |
Hit antibiotic q24h diem |
1,913 |
352 |
$123K |
| B4162 |
Ef ped specmetabolic inherit |
137 |
122 |
$116K |
| B4154 |
Ef spec metabolic noninherit |
388 |
356 |
$74K |
| B4155 |
Ef incomplete/modular |
1,135 |
1,074 |
$66K |
| B4087 |
Gastro/jejuno tube, std |
1,136 |
1,053 |
$50K |
| B4100 |
Food thickener oral |
265 |
247 |
$44K |
| B4185 |
Pn soln nos 10 grams lipids |
222 |
62 |
$41K |
| B4036 |
Enteral feed sup kit grav by |
306 |
269 |
$31K |
| 99601 |
|
561 |
226 |
$31K |
| B9998 |
Enteral supp not otherwise c |
153 |
135 |
$16K |
| S9338 |
Hit immunotherapy diem |
64 |
36 |
$1K |
| A4221 |
Supp non-insulin inf cath/wk |
176 |
74 |
$1K |
| 99602 |
Nursing care in home rn |
19 |
12 |
$1K |