| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,915 |
4,190 |
$1.83M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,703 |
2,188 |
$1.74M |
| B4035 |
Enteral feed supp pump per d |
8,356 |
6,789 |
$1.59M |
| B4149 |
Ef blenderized foods |
2,307 |
1,962 |
$705K |
| B4224 |
Parenteral administration ki |
8,702 |
2,153 |
$703K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,193 |
3,395 |
$654K |
| B4153 |
Ef hydrolyzed/amino acids |
1,071 |
879 |
$597K |
| B4150 |
Ef complet w/intact nutrient |
3,765 |
3,134 |
$448K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,655 |
2,369 |
$369K |
| B9998 |
Enteral supp not otherwise c |
4,732 |
4,186 |
$329K |
| B4154 |
Ef spec metabolic noninherit |
1,015 |
865 |
$315K |
| B4220 |
Parenteral supply kit premix |
13,745 |
4,488 |
$314K |
| B4158 |
Ef ped complete intact nut |
1,111 |
911 |
$191K |
| B4034 |
Enter feed supkit syr by day |
2,150 |
1,721 |
$174K |
| B9002 |
Enter nutr inf pump any type |
2,944 |
2,656 |
$139K |
| B4155 |
Ef incomplete/modular |
892 |
776 |
$105K |
| B9004 |
Parenteral infus pump portab |
993 |
606 |
$78K |
| E0781 |
External ambulatory infus pu |
646 |
512 |
$67K |
| A4211 |
Supp for self-adm injections |
852 |
274 |
$52K |
| B4036 |
Enteral feed sup kit grav by |
471 |
397 |
$49K |
| B4100 |
Food thickener oral |
390 |
341 |
$31K |
| A4305 |
Drug delivery system >=50 ml |
1,216 |
341 |
$25K |
| E0776 |
Iv pole |
317 |
258 |
$19K |
| A4223 |
Infusion supplies w/o pump |
335 |
129 |
$4K |
| A4221 |
Supp non-insulin inf cath/wk |
165 |
74 |
$2K |
| E0779 |
Amb infusion pump mechanical |
881 |
39 |
$1K |
| K0552 |
Sup/ext non-ins inf pump syr |
690 |
173 |
$1K |