| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
9,266 |
8,516 |
$2.46M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,342 |
1,164 |
$1.00M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,321 |
2,066 |
$776K |
| B4149 |
Ef blenderized foods |
1,317 |
1,006 |
$376K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,755 |
1,670 |
$223K |
| S9500 |
Hit antibiotic q24h diem |
3,382 |
1,387 |
$174K |
| S5501 |
Hit complex cath care |
2,300 |
1,051 |
$95K |
| B4034 |
Enter feed supkit syr by day |
945 |
874 |
$91K |
| B9002 |
Enter nutr inf pump any type |
1,191 |
1,141 |
$90K |
| B4152 |
Ef calorie dense>/=1.5kcal |
546 |
485 |
$65K |
| A4222 |
Infusion supplies with pump |
87 |
31 |
$15K |
| E0776 |
Iv pole |
669 |
654 |
$5K |
| B4150 |
Ef complet w/intact nutrient |
45 |
39 |
$5K |
| B4154 |
Ef spec metabolic noninherit |
12 |
12 |
$3K |
| A4221 |
Supp non-insulin inf cath/wk |
119 |
45 |
$3K |
| B4082 |
Enteral ng tubing w/o stylet |
194 |
179 |
$3K |