| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
1,482 |
997 |
$374K |
| 99601 |
|
1,291 |
462 |
$100K |
| S9343 |
Hit enteral bolus nurs |
520 |
221 |
$42K |
| B4035 |
Enteral feed supp pump per d |
229 |
171 |
$20K |
| B4152 |
Ef calorie dense>/=1.5kcal |
378 |
238 |
$20K |
| B4153 |
Ef hydrolyzed/amino acids |
91 |
39 |
$16K |
| B4150 |
Ef complet w/intact nutrient |
122 |
103 |
$11K |
| S9374 |
Hit hydra 1 liter diem |
99 |
12 |
$10K |
| B4088 |
Gastro/jejuno tube, low-pro |
235 |
231 |
$6K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
22 |
20 |
$5K |
| B4161 |
Ef ped hydrolyzed/amino acid |
19 |
19 |
$4K |
| B4149 |
Ef blenderized foods |
23 |
12 |
$3K |
| B4154 |
Ef spec metabolic noninherit |
14 |
13 |
$2K |
| B4034 |
Enter feed supkit syr by day |
27 |
26 |
$1K |
| B4155 |
Ef incomplete/modular |
81 |
70 |
$997.98 |