| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
2,558 |
2,064 |
$409K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,843 |
1,703 |
$289K |
| B4161 |
Ef ped hydrolyzed/amino acid |
338 |
257 |
$217K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,655 |
1,019 |
$204K |
| B4149 |
Ef blenderized foods |
496 |
330 |
$182K |
| B4150 |
Ef complet w/intact nutrient |
1,545 |
1,205 |
$180K |
| A4223 |
Infusion supplies w/o pump |
1,663 |
662 |
$160K |
| B4034 |
Enter feed supkit syr by day |
1,156 |
950 |
$97K |
| S9342 |
Hit enteral pump diem |
197 |
176 |
$86K |
| B9998 |
Enteral supp not otherwise c |
1,063 |
840 |
$80K |
| B4153 |
Ef hydrolyzed/amino acids |
172 |
114 |
$63K |
| A4221 |
Supp non-insulin inf cath/wk |
2,703 |
1,229 |
$50K |
| B4154 |
Ef spec metabolic noninherit |
283 |
190 |
$47K |
| B9002 |
Enter nutr inf pump any type |
538 |
477 |
$30K |
| B4088 |
Gastro/jejuno tube, low-pro |
220 |
205 |
$15K |
| B4155 |
Ef incomplete/modular |
17 |
14 |
$2K |
| K0552 |
Sup/ext non-ins inf pump syr |
67 |
39 |
$107.14 |