| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
23,529 |
9,432 |
$2.98M |
| B4161 |
Ef ped hydrolyzed/amino acid |
6,178 |
3,782 |
$2.57M |
| B4149 |
Ef blenderized foods |
2,593 |
2,217 |
$1.05M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,488 |
2,298 |
$400K |
| B4034 |
Enter feed supkit syr by day |
6,748 |
1,846 |
$254K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,479 |
898 |
$162K |
| S9379 |
Hit noc per diem |
1,569 |
559 |
$150K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,102 |
3,342 |
$122K |
| B9002 |
Enter nutr inf pump any type |
820 |
695 |
$86K |
| B4155 |
Ef incomplete/modular |
1,865 |
1,316 |
$65K |
| S9500 |
Hit antibiotic q24h diem |
388 |
100 |
$53K |
| B4153 |
Ef hydrolyzed/amino acids |
134 |
64 |
$31K |
| B4224 |
Parenteral administration ki |
154 |
24 |
$12K |
| B4154 |
Ef spec metabolic noninherit |
34 |
24 |
$10K |
| B4158 |
Ef ped complete intact nut |
40 |
27 |
$5K |
| B4220 |
Parenteral supply kit premix |
153 |
24 |
$4K |
| A4221 |
Supp non-insulin inf cath/wk |
182 |
94 |
$4K |
| B4103 |
Ef ped fluid and electrolyte |
16 |
12 |
$2K |
| B4150 |
Ef complet w/intact nutrient |
15 |
12 |
$2K |