| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
26,721 |
12,500 |
$182K |
| B4152 |
Ef calorie dense>/=1.5kcal |
18,482 |
8,462 |
$93K |
| B4154 |
Ef spec metabolic noninherit |
8,512 |
4,253 |
$67K |
| B4034 |
Enter feed supkit syr by day |
2,927 |
1,655 |
$20K |
| B9002 |
Enter nutr inf pump any type |
5,483 |
3,766 |
$15K |
| E0776 |
Iv pole |
5,738 |
4,287 |
$13K |
| B4150 |
Ef complet w/intact nutrient |
1,968 |
1,156 |
$7K |
| A4338 |
Indwelling catheter latex |
2,842 |
1,901 |
$2K |
| A4357 |
Bedside drainage bag |
2,994 |
1,939 |
$1K |
| A4394 |
Ostomy pouch liq deodorant |
782 |
547 |
$712.71 |
| A4456 |
Adhesive remover, wipes |
1,187 |
811 |
$420.32 |
| A5120 |
Skin barrier, wipe or swab |
805 |
535 |
$224.04 |
| A5061 |
Pouch drainable w barrier at |
56 |
38 |
$190.62 |
| A4310 |
Insert tray w/o bag/cath |
2,828 |
1,886 |
$93.22 |
| A4623 |
Tracheostomy inner cannula |
13 |
12 |
$0.00 |
| A7526 |
Tracheostomy tube collar |
16 |
12 |
$0.00 |
| A4629 |
Tracheostomy care kit |
47 |
37 |
$0.00 |