| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
256 |
212 |
$82K |
| B4035 |
Enteral feed supp pump per d |
1,708 |
1,279 |
$70K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,611 |
1,160 |
$46K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
275 |
237 |
$42K |
| B4034 |
Enter feed supkit syr by day |
920 |
690 |
$18K |
| B4149 |
Ef blenderized foods |
230 |
190 |
$17K |
| A4221 |
Supp non-insulin inf cath/wk |
1,232 |
476 |
$13K |
| B4161 |
Ef ped hydrolyzed/amino acid |
59 |
49 |
$12K |
| B4150 |
Ef complet w/intact nutrient |
278 |
209 |
$9K |
| 99601 |
|
109 |
40 |
$7K |
| B9002 |
Enter nutr inf pump any type |
192 |
151 |
$4K |
| B4088 |
Gastro/jejuno tube, low-pro |
94 |
89 |
$2K |
| A4222 |
Infusion supplies with pump |
126 |
41 |
$150.47 |
| A4209 |
5+ cc sterile syringe&needle |
21 |
12 |
$11.10 |