| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
87,436 |
42,761 |
$1.25M |
| B4154 |
Ef spec metabolic noninherit |
27,714 |
13,851 |
$811K |
| B4152 |
Ef calorie dense>/=1.5kcal |
44,604 |
22,154 |
$655K |
| B4150 |
Ef complet w/intact nutrient |
19,067 |
9,628 |
$316K |
| B9002 |
Enter nutr inf pump any type |
20,878 |
20,616 |
$206K |
| B4153 |
Ef hydrolyzed/amino acids |
3,678 |
1,869 |
$185K |
| A4623 |
Tracheostomy inner cannula |
17,422 |
17,000 |
$144K |
| B4155 |
Ef incomplete/modular |
11,018 |
9,909 |
$80K |
| B4034 |
Enter feed supkit syr by day |
9,005 |
4,496 |
$68K |
| A4629 |
Tracheostomy care kit |
10,349 |
10,054 |
$48K |
| E0776 |
Iv pole |
41,930 |
41,677 |
$45K |
| A4417 |
Ost pch w bar/bltinconv/fltr |
2,594 |
2,565 |
$44K |
| A7521 |
Trach/laryn tube cuffed |
4,937 |
4,917 |
$24K |
| A4357 |
Bedside drainage bag |
27,536 |
26,954 |
$22K |
| A7526 |
Tracheostomy tube collar |
9,956 |
9,719 |
$20K |
| A4419 |
Ost pch for bar w flange/flt |
2,717 |
2,671 |
$17K |
| A4314 |
Cath w/drainage 2-way latex |
25,444 |
24,964 |
$14K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
5,795 |
5,667 |
$13K |
| A4409 |
Ost skn barr convex <=4 sq i |
2,603 |
2,530 |
$8K |
| A4425 |
Ost pch drain for barrier fl |
2,341 |
2,285 |
$8K |
| A4333 |
Urinary cath anchor device |
5,728 |
5,599 |
$7K |
| A7520 |
Trach/laryn tube non-cuffed |
1,226 |
1,223 |
$6K |
| A4432 |
Os pch urine w bar/fange/tap |
939 |
887 |
$5K |
| A5063 |
Drain ostomy pouch w/flange |
3,345 |
3,300 |
$5K |
| A5061 |
Pouch drainable w barrier at |
605 |
587 |
$4K |
| A4385 |
Ost skn barrier sld ext wear |
773 |
751 |
$3K |
| A4416 |
Ost pch clsd w barrier/filtr |
558 |
536 |
$3K |
| A4407 |
Ext wear ost skn barr <=4sq" |
698 |
678 |
$2K |
| A4358 |
Urinary leg or abdomen bag |
3,280 |
3,214 |
$1K |
| B4087 |
Gastro/jejuno tube, std |
338 |
337 |
$395.31 |
| A5056 |
1 pc ost pouch w filter |
24 |
24 |
$51.32 |
| A4412 |
Ost pouch drain high output |
12 |
12 |
$43.68 |
| A4362 |
Solid skin barrier |
12 |
12 |
$40.62 |
| A4371 |
Skin barrier powder per oz |
112 |
111 |
$23.65 |
| A4340 |
Indwelling catheter special |
12 |
12 |
$1.22 |