| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
239,680 |
38,918 |
$10.45M |
| B4161 |
Ef ped hydrolyzed/amino acid |
14,734 |
9,392 |
$9.10M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
16,231 |
9,673 |
$2.97M |
| B4224 |
Parenteral administration ki |
62,587 |
5,896 |
$2.77M |
| A4223 |
Infusion supplies w/o pump |
29,165 |
9,785 |
$2.67M |
| S9500 |
Hit antibiotic q24h diem |
104,978 |
6,372 |
$2.15M |
| B4105 |
Enzyme cartridge enteral nut |
476 |
406 |
$2.06M |
| B4149 |
Ef blenderized foods |
6,711 |
4,089 |
$1.90M |
| B4154 |
Ef spec metabolic noninherit |
6,772 |
4,598 |
$1.52M |
| A4222 |
Infusion supplies with pump |
36,157 |
4,904 |
$1.48M |
| B4152 |
Ef calorie dense>/=1.5kcal |
12,165 |
8,673 |
$1.36M |
| B4153 |
Ef hydrolyzed/amino acids |
3,026 |
2,132 |
$1.28M |
| G0299 |
Hhs/hospice of rn ea 15 min |
15,637 |
2,572 |
$1.15M |
| B4088 |
Gastro/jejuno tube, low-pro |
8,279 |
7,002 |
$969K |
| B4150 |
Ef complet w/intact nutrient |
7,202 |
4,167 |
$775K |
| B4034 |
Enter feed supkit syr by day |
21,866 |
6,311 |
$644K |
| B9002 |
Enter nutr inf pump any type |
5,857 |
5,466 |
$475K |
| B4036 |
Enteral feed sup kit grav by |
14,076 |
3,574 |
$471K |
| S5501 |
Hit complex cath care |
8,520 |
3,888 |
$353K |
| B4158 |
Ef ped complete intact nut |
2,533 |
1,657 |
$210K |
| A4221 |
Supp non-insulin inf cath/wk |
10,583 |
4,299 |
$206K |
| B4155 |
Ef incomplete/modular |
4,212 |
3,026 |
$156K |
| E0781 |
External ambulatory infus pu |
15,065 |
1,317 |
$130K |
| B4220 |
Parenteral supply kit premix |
2,571 |
580 |
$47K |
| B4197 |
Parenteral sol 74-100 gm pro |
91 |
24 |
$35K |
| A6402 |
Sterile gauze <= 16 sq in |
3,746 |
3,416 |
$29K |
| B4082 |
Enteral ng tubing w/o stylet |
2,158 |
1,633 |
$28K |
| A4305 |
Drug delivery system >=50 ml |
378 |
108 |
$28K |
| E0776 |
Iv pole |
2,756 |
2,527 |
$18K |
| A4452 |
Waterproof tape |
2,941 |
2,671 |
$10K |
| B4185 |
Pn soln nos 10 grams lipids |
286 |
41 |
$6K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
305 |
245 |
$5K |
| A6257 |
Transparent film <= 16 sq in |
298 |
241 |
$4K |
| B9998 |
Enteral supp not otherwise c |
16 |
13 |
$3K |
| A4402 |
Lubricant per ounce |
1,360 |
1,220 |
$3K |
| A4450 |
Non-waterproof tape |
940 |
768 |
$1K |
| A4930 |
Sterile, gloves per pair |
68 |
31 |
$386.63 |
| A4927 |
Non-sterile gloves |
16 |
16 |
$132.42 |