| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
4,827 |
4,003 |
$561K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,269 |
1,061 |
$322K |
| B4149 |
Ef blenderized foods |
695 |
591 |
$251K |
| S9342 |
Hit enteral pump diem |
12,919 |
676 |
$230K |
| B4161 |
Ef ped hydrolyzed/amino acid |
737 |
571 |
$229K |
| B4150 |
Ef complet w/intact nutrient |
2,280 |
2,023 |
$211K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,365 |
2,027 |
$204K |
| B4153 |
Ef hydrolyzed/amino acids |
656 |
510 |
$161K |
| 99601 |
|
2,124 |
964 |
$122K |
| B9002 |
Enter nutr inf pump any type |
1,743 |
1,599 |
$97K |
| B4034 |
Enter feed supkit syr by day |
971 |
799 |
$49K |
| S9338 |
Hit immunotherapy diem |
332 |
125 |
$31K |
| B4036 |
Enteral feed sup kit grav by |
317 |
273 |
$28K |
| B4155 |
Ef incomplete/modular |
772 |
611 |
$27K |
| B9998 |
Enteral supp not otherwise c |
149 |
130 |
$26K |
| B4088 |
Gastro/jejuno tube, low-pro |
689 |
635 |
$14K |
| B4154 |
Ef spec metabolic noninherit |
38 |
36 |
$7K |
| S9379 |
Hit noc per diem |
31 |
12 |
$6K |
| B4081 |
Enteral ng tubing w/ stylet |
61 |
53 |
$3K |
| 99602 |
Nursing care in home rn |
33 |
25 |
$963.00 |