| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4152 |
Ef calorie dense>/=1.5kcal |
5,182 |
4,527 |
$151K |
| B4154 |
Ef spec metabolic noninherit |
2,658 |
2,345 |
$148K |
| B4035 |
Enteral feed supp pump per d |
6,702 |
5,891 |
$103K |
| B9002 |
Enter nutr inf pump any type |
4,050 |
3,520 |
$34K |
| E0776 |
Iv pole |
6,825 |
5,946 |
$32K |
| A5120 |
Skin barrier, wipe or swab |
2,421 |
2,036 |
$17K |
| A4338 |
Indwelling catheter latex |
5,030 |
4,011 |
$15K |
| A4623 |
Tracheostomy inner cannula |
310 |
284 |
$15K |
| A5063 |
Drain ostomy pouch w/flange |
1,256 |
1,072 |
$13K |
| B4034 |
Enter feed supkit syr by day |
1,743 |
1,486 |
$11K |
| A4629 |
Tracheostomy care kit |
841 |
760 |
$8K |
| A4310 |
Insert tray w/o bag/cath |
5,404 |
4,317 |
$6K |
| A7526 |
Tracheostomy tube collar |
818 |
738 |
$6K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
343 |
319 |
$5K |
| B4150 |
Ef complet w/intact nutrient |
116 |
106 |
$4K |
| A4357 |
Bedside drainage bag |
5,459 |
4,374 |
$2K |
| A4334 |
Urinary cath leg strap |
5,134 |
4,090 |
$1K |
| B4087 |
Gastro/jejuno tube, std |
314 |
244 |
$1K |
| A4394 |
Ostomy pouch liq deodorant |
1,283 |
1,060 |
$1K |
| A4406 |
Pectin based ostomy paste |
1,275 |
1,056 |
$359.54 |
| A4373 |
Skin barrier with flange |
120 |
85 |
$241.40 |