| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4150 |
Ef complet w/intact nutrient |
3,212 |
2,625 |
$816K |
| B4161 |
Ef ped hydrolyzed/amino acid |
799 |
540 |
$367K |
| B4035 |
Enteral feed supp pump per d |
4,758 |
2,748 |
$330K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,169 |
836 |
$246K |
| B4149 |
Ef blenderized foods |
824 |
365 |
$188K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
669 |
524 |
$161K |
| B4153 |
Ef hydrolyzed/amino acids |
56 |
51 |
$43K |
| B9002 |
Enter nutr inf pump any type |
439 |
334 |
$20K |
| B4155 |
Ef incomplete/modular |
326 |
220 |
$9K |
| B4034 |
Enter feed supkit syr by day |
271 |
42 |
$345.68 |
| B9998 |
Enteral supp not otherwise c |
15 |
15 |
$111.69 |