| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4160 |
Ef ped caloric dense>/=0.7kc |
5,890 |
5,023 |
$831K |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,112 |
1,653 |
$808K |
| B4035 |
Enteral feed supp pump per d |
7,848 |
6,426 |
$752K |
| E1390 |
Oxygen concentrator |
25,225 |
19,925 |
$713K |
| B4149 |
Ef blenderized foods |
1,562 |
1,269 |
$413K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,942 |
3,147 |
$290K |
| B4150 |
Ef complet w/intact nutrient |
2,905 |
2,278 |
$180K |
| B4034 |
Enter feed supkit syr by day |
3,834 |
2,844 |
$169K |
| E0431 |
Portable gaseous 02 |
17,023 |
13,922 |
$122K |
| B9002 |
Enter nutr inf pump any type |
1,824 |
1,601 |
$64K |
| B4154 |
Ef spec metabolic noninherit |
477 |
373 |
$60K |
| B4153 |
Ef hydrolyzed/amino acids |
277 |
208 |
$49K |
| B9998 |
Enteral supp not otherwise c |
2,928 |
2,007 |
$46K |
| B4103 |
Ef ped fluid and electrolyte |
347 |
322 |
$44K |
| B4155 |
Ef incomplete/modular |
1,612 |
1,299 |
$43K |
| E1392 |
Portable oxygen concentrator |
2,792 |
2,206 |
$30K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,479 |
1,280 |
$29K |
| E0570 |
Nebulizer with compression |
4,344 |
3,395 |
$18K |
| E0776 |
Iv pole |
1,937 |
1,690 |
$13K |
| B4036 |
Enteral feed sup kit grav by |
13 |
12 |
$1K |
| A7003 |
Nebulizer administration set |
1,025 |
768 |
$575.35 |
| A7015 |
Aerosol mask used w nebulize |
18 |
16 |
$12.23 |
| A7013 |
Disposable compressor filter |
15 |
13 |
$6.30 |