| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
7,185 |
3,446 |
$658K |
| B9002 |
Enteral nutrition infusion pump, any type |
6,012 |
2,937 |
$186K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,066 |
1,016 |
$69K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
388 |
323 |
$50K |
| B9998 |
Noc for enteral supplies |
4,461 |
2,556 |
$49K |
| E0776 |
Iv pole |
1,846 |
1,553 |
$12K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
136 |
90 |
$2K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
53 |
38 |
$1K |
| A6403 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
16 |
14 |
$133.96 |