| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0776 |
Iv pole |
4,274 |
3,610 |
$20K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,281 |
2,750 |
$20K |
| B4154 |
Ef spec metabolic noninherit |
1,512 |
1,208 |
$18K |
| B4035 |
Enteral feed supp pump per d |
4,464 |
3,785 |
$13K |
| B9002 |
Enter nutr inf pump any type |
2,069 |
1,700 |
$6K |
| A4314 |
Cath w/drainage 2-way latex |
4,111 |
3,355 |
$3K |
| B4034 |
Enter feed supkit syr by day |
418 |
340 |
$1K |
| B4150 |
Ef complet w/intact nutrient |
156 |
140 |
$1K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
107 |
78 |
$758.79 |
| A4357 |
Bedside drainage bag |
4,643 |
3,654 |
$534.10 |
| A4623 |
Tracheostomy inner cannula |
21 |
12 |
$107.40 |
| A4629 |
Tracheostomy care kit |
20 |
12 |
$76.20 |
| A5063 |
Drain ostomy pouch w/flange |
47 |
27 |
$0.00 |
| A4409 |
Ost skn barr convex <=4 sq i |
29 |
24 |
$0.00 |