| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
6,039 |
5,754 |
$2.10M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,259 |
1,158 |
$967K |
| B4087 |
Gastro/jejuno tube, std |
5,986 |
5,829 |
$911K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
5,125 |
4,805 |
$896K |
| B4149 |
Ef blenderized foods |
868 |
822 |
$452K |
| B4034 |
Enter feed supkit syr by day |
1,408 |
1,355 |
$237K |
| B9002 |
Enter nutr inf pump any type |
1,241 |
1,192 |
$158K |
| B4150 |
Ef complet w/intact nutrient |
639 |
609 |
$147K |
| B4152 |
Ef calorie dense>/=1.5kcal |
707 |
661 |
$146K |
| B4088 |
Gastro/jejuno tube, low-pro |
940 |
886 |
$87K |
| 97803 |
|
1,464 |
1,444 |
$67K |
| B4100 |
Food thickener oral |
230 |
223 |
$10K |
| B4158 |
Ef ped complete intact nut |
78 |
74 |
$8K |
| B4082 |
Enteral ng tubing w/o stylet |
100 |
92 |
$4K |