| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
1,856 |
1,078 |
$22K |
| B4152 |
Ef calorie dense>/=1.5kcal |
895 |
621 |
$16K |
| B4150 |
Ef complet w/intact nutrient |
607 |
306 |
$8K |
| B4154 |
Ef spec metabolic noninherit |
249 |
151 |
$6K |
| B4034 |
Enter feed supkit syr by day |
467 |
285 |
$4K |
| B9002 |
Enter nutr inf pump any type |
742 |
510 |
$4K |
| A4358 |
Urinary leg or abdomen bag |
1,799 |
1,242 |
$3K |
| A5063 |
Drain ostomy pouch w/flange |
711 |
517 |
$3K |
| A4333 |
Urinary cath anchor device |
1,880 |
1,254 |
$2K |
| A4338 |
Indwelling catheter latex |
1,036 |
697 |
$2K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
217 |
133 |
$2K |
| A4310 |
Insert tray w/o bag/cath |
1,493 |
1,008 |
$1K |
| A4340 |
Indwelling catheter special |
40 |
26 |
$195.45 |
| A4311 |
Catheter w/o bag 2-way latex |
90 |
72 |
$126.33 |