| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
5,720 |
5,061 |
$1.37M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,108 |
1,720 |
$1.16M |
| B9998 |
Enteral supp not otherwise c |
4,370 |
3,202 |
$764K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,386 |
2,108 |
$466K |
| B4149 |
Ef blenderized foods |
1,238 |
916 |
$460K |
| B4153 |
Ef hydrolyzed/amino acids |
355 |
309 |
$229K |
| B4150 |
Ef complet w/intact nutrient |
1,259 |
1,104 |
$220K |
| B4034 |
Enter feed supkit syr by day |
2,269 |
1,821 |
$198K |
| B9002 |
Enter nutr inf pump any type |
1,928 |
1,842 |
$185K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,245 |
1,105 |
$174K |
| S9500 |
Hit antibiotic q24h diem |
538 |
172 |
$96K |
| A4221 |
Supp non-insulin inf cath/wk |
456 |
213 |
$14K |
| B4155 |
Ef incomplete/modular |
177 |
154 |
$8K |
| B4154 |
Ef spec metabolic noninherit |
13 |
12 |
$5K |