| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
14,656 |
12,557 |
$3.56M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,780 |
4,760 |
$2.98M |
| B9998 |
Enteral supp not otherwise c |
12,151 |
8,497 |
$1.59M |
| B4149 |
Ef blenderized foods |
3,082 |
2,513 |
$1.30M |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,854 |
4,187 |
$906K |
| B9002 |
Enter nutr inf pump any type |
7,972 |
7,287 |
$756K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,147 |
3,392 |
$550K |
| B4153 |
Ef hydrolyzed/amino acids |
870 |
724 |
$520K |
| S9500 |
Hit antibiotic q24h diem |
3,829 |
964 |
$404K |
| B4034 |
Enter feed supkit syr by day |
4,504 |
3,473 |
$362K |
| B4150 |
Ef complet w/intact nutrient |
1,650 |
1,473 |
$266K |
| B4154 |
Ef spec metabolic noninherit |
567 |
475 |
$181K |
| B4155 |
Ef incomplete/modular |
2,206 |
1,949 |
$109K |
| B4185 |
Pn soln nos 10 grams lipids |
721 |
153 |
$70K |
| A4221 |
Supp non-insulin inf cath/wk |
2,007 |
907 |
$64K |
| E0776 |
Iv pole |
520 |
457 |
$61K |
| B4158 |
Ef ped complete intact nut |
627 |
518 |
$60K |
| B4224 |
Parenteral administration ki |
459 |
111 |
$47K |
| S9502 |
Hit antibiotic q8h diem |
171 |
64 |
$31K |
| B4220 |
Parenteral supply kit premix |
417 |
99 |
$13K |
| S9501 |
Hit antibiotic q12h diem |
132 |
36 |
$13K |
| B4088 |
Gastro/jejuno tube, low-pro |
158 |
150 |
$3K |