| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
17,271 |
14,357 |
$3.49M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,912 |
4,202 |
$3.30M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
7,277 |
6,282 |
$1.61M |
| B4149 |
Ef blenderized foods |
2,820 |
2,396 |
$1.12M |
| B9002 |
Enter nutr inf pump any type |
14,190 |
11,699 |
$1.08M |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,890 |
3,996 |
$639K |
| B4150 |
Ef complet w/intact nutrient |
3,173 |
2,693 |
$432K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,697 |
4,354 |
$429K |
| S9342 |
Hit enteral pump diem |
932 |
880 |
$275K |
| B4034 |
Enter feed supkit syr by day |
3,589 |
2,873 |
$241K |
| B4153 |
Ef hydrolyzed/amino acids |
192 |
161 |
$98K |
| A4221 |
Supp non-insulin inf cath/wk |
4,555 |
1,902 |
$82K |
| B4158 |
Ef ped complete intact nut |
411 |
299 |
$64K |
| A4223 |
Infusion supplies w/o pump |
1,064 |
437 |
$55K |
| B4036 |
Enteral feed sup kit grav by |
615 |
480 |
$45K |
| B4155 |
Ef incomplete/modular |
368 |
325 |
$29K |
| S9500 |
Hit antibiotic q24h diem |
356 |
25 |
$16K |
| B9998 |
Enteral supp not otherwise c |
245 |
219 |
$15K |
| B4154 |
Ef spec metabolic noninherit |
58 |
39 |
$11K |
| A4222 |
Infusion supplies with pump |
59 |
26 |
$8K |
| E0776 |
Iv pole |
48 |
36 |
$2K |
| A4213 |
20+ cc syringe only |
209 |
74 |
$2K |
| B4100 |
Food thickener oral |
35 |
24 |
$653.12 |