| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4149 |
Ef blenderized foods |
3,112 |
2,743 |
$1.36M |
| B4035 |
Enteral feed supp pump per d |
5,941 |
5,227 |
$1.34M |
| B4189 |
Parenteral sol amino acid & |
1,266 |
322 |
$1.33M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,699 |
1,542 |
$1.20M |
| B4224 |
Parenteral administration ki |
2,532 |
633 |
$379K |
| B4185 |
Pn soln nos 10 grams lipids |
2,055 |
536 |
$366K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,671 |
1,606 |
$241K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
625 |
578 |
$154K |
| B4220 |
Parenteral supply kit premix |
2,619 |
640 |
$121K |
| B4034 |
Enter feed supkit syr by day |
905 |
845 |
$115K |
| A4221 |
Supp non-insulin inf cath/wk |
2,882 |
1,409 |
$75K |
| A4223 |
Infusion supplies w/o pump |
996 |
542 |
$74K |
| A4222 |
Infusion supplies with pump |
175 |
116 |
$35K |