| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
10,142 |
7,805 |
$1.77M |
| B4161 |
Ef ped hydrolyzed/amino acid |
974 |
854 |
$556K |
| B4149 |
Ef blenderized foods |
1,591 |
1,295 |
$522K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,313 |
3,497 |
$503K |
| B9002 |
Enter nutr inf pump any type |
7,137 |
6,170 |
$503K |
| B4150 |
Ef complet w/intact nutrient |
3,831 |
3,079 |
$433K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,461 |
2,150 |
$407K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,953 |
1,820 |
$153K |
| B4034 |
Enter feed supkit syr by day |
2,202 |
1,732 |
$104K |
| S9342 |
Hit enteral pump diem |
266 |
246 |
$88K |
| B4153 |
Ef hydrolyzed/amino acids |
46 |
37 |
$32K |
| A4223 |
Infusion supplies w/o pump |
1,170 |
596 |
$21K |
| B4155 |
Ef incomplete/modular |
115 |
91 |
$10K |
| B9998 |
Enteral supp not otherwise c |
93 |
88 |
$10K |
| A4221 |
Supp non-insulin inf cath/wk |
1,604 |
699 |
$6K |
| S9500 |
Hit antibiotic q24h diem |
168 |
13 |
$2K |
| B4036 |
Enteral feed sup kit grav by |
16 |
12 |
$2K |