| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
89 |
78 |
$25K |
| T2029 |
Special med equip, noswaiver |
64 |
59 |
$18K |
| A4425 |
Ost pch drain for barrier fl |
192 |
177 |
$8K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
114 |
106 |
$8K |
| B9002 |
Enter nutr inf pump any type |
71 |
70 |
$7K |
| A4409 |
Ost skn barr convex <=4 sq i |
114 |
101 |
$4K |
| A4362 |
Solid skin barrier |
127 |
112 |
$4K |
| A4385 |
Ost skn barrier sld ext wear |
203 |
187 |
$4K |
| B4152 |
Ef calorie dense>/=1.5kcal |
13 |
12 |
$4K |
| A4406 |
Pectin based ostomy paste |
96 |
89 |
$1K |
| A4407 |
Ext wear ost skn barr <=4sq" |
13 |
13 |
$799.57 |
| A4357 |
Bedside drainage bag |
85 |
74 |
$330.71 |
| A4371 |
Skin barrier powder per oz |
74 |
70 |
$210.08 |
| A5120 |
Skin barrier, wipe or swab |
46 |
42 |
$189.64 |
| A4367 |
Ostomy belt |
28 |
25 |
$99.28 |