| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
564 |
312 |
$47K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
171 |
24 |
$21K |
| B4224 |
Parenteral nutrition administration kit, per day |
477 |
38 |
$19K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
412 |
88 |
$8K |
| B9998 |
Noc for enteral supplies |
68 |
51 |
$4K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
93 |
26 |
$4K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
544 |
255 |
$4K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
68 |
13 |
$2K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
31 |
16 |
$205.29 |