| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
8,303 |
4,955 |
$1.16M |
| A4222 |
Infusion supplies with pump |
4,595 |
1,023 |
$1.01M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,238 |
1,416 |
$662K |
| B4149 |
Ef blenderized foods |
3,319 |
2,040 |
$613K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,739 |
2,902 |
$606K |
| B9998 |
Enteral supp not otherwise c |
6,335 |
5,276 |
$553K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,019 |
1,858 |
$301K |
| B4150 |
Ef complet w/intact nutrient |
2,732 |
1,634 |
$220K |
| B4036 |
Enteral feed sup kit grav by |
2,468 |
1,470 |
$200K |
| B4034 |
Enter feed supkit syr by day |
2,584 |
1,574 |
$164K |
| A4221 |
Supp non-insulin inf cath/wk |
6,446 |
1,825 |
$111K |
| B9002 |
Enter nutr inf pump any type |
718 |
641 |
$59K |
| B4154 |
Ef spec metabolic noninherit |
398 |
238 |
$46K |
| B4152 |
Ef calorie dense>/=1.5kcal |
441 |
291 |
$31K |
| B4155 |
Ef incomplete/modular |
411 |
270 |
$11K |
| E0780 |
Mech amb infusion pump <8hrs |
85 |
50 |
$8K |
| E0776 |
Iv pole |
73 |
62 |
$1K |
| S9343 |
Hit enteral bolus nurs |
43 |
37 |
$0.00 |
| S9342 |
Hit enteral pump diem |
121 |
107 |
$0.00 |