| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4221 |
Supp non-insulin inf cath/wk |
8,521 |
2,190 |
$94K |
| B4035 |
Enteral feed supp pump per d |
955 |
711 |
$82K |
| 99601 |
|
250 |
81 |
$36K |
| B4150 |
Ef complet w/intact nutrient |
533 |
395 |
$29K |
| A4222 |
Infusion supplies with pump |
270 |
85 |
$19K |
| B9002 |
Enter nutr inf pump any type |
182 |
164 |
$12K |
| B4034 |
Enter feed supkit syr by day |
290 |
224 |
$7K |
| B4152 |
Ef calorie dense>/=1.5kcal |
128 |
104 |
$6K |
| E0776 |
Iv pole |
352 |
308 |
$2K |
| K0552 |
Sup/ext non-ins inf pump syr |
497 |
118 |
$981.88 |
| B9998 |
Enteral supp not otherwise c |
53 |
26 |
$140.40 |