| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
3,086 |
1,955 |
$469K |
| A4223 |
Infusion supplies w/o pump |
930 |
438 |
$288K |
| A4222 |
Infusion supplies with pump |
1,064 |
368 |
$224K |
| S9342 |
Hit enteral pump diem |
7,218 |
687 |
$134K |
| B4161 |
Ef ped hydrolyzed/amino acid |
379 |
247 |
$126K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,151 |
811 |
$114K |
| A4221 |
Supp non-insulin inf cath/wk |
2,361 |
985 |
$61K |
| 99601 |
|
306 |
114 |
$32K |
| B4185 |
Pn soln nos 10 grams lipids |
147 |
37 |
$29K |
| B4224 |
Parenteral administration ki |
179 |
43 |
$25K |
| S9500 |
Hit antibiotic q24h diem |
256 |
24 |
$8K |
| B4150 |
Ef complet w/intact nutrient |
182 |
84 |
$7K |
| B4034 |
Enter feed supkit syr by day |
30 |
27 |
$5K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
32 |
26 |
$5K |
| B4088 |
Gastro/jejuno tube, low-pro |
16 |
14 |
$3K |
| S9343 |
Hit enteral bolus nurs |
259 |
28 |
$2K |
| B9002 |
Enter nutr inf pump any type |
30 |
24 |
$2K |
| B4220 |
Parenteral supply kit premix |
44 |
12 |
$2K |