| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
2,005 |
1,735 |
$267K |
| B4150 |
Ef complet w/intact nutrient |
1,512 |
1,300 |
$156K |
| B4152 |
Ef calorie dense>/=1.5kcal |
976 |
836 |
$109K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
503 |
459 |
$63K |
| B4034 |
Enter feed supkit syr by day |
906 |
801 |
$43K |
| S9500 |
Hit antibiotic q24h diem |
326 |
135 |
$43K |
| B4087 |
Gastro/jejuno tube, std |
839 |
778 |
$36K |
| B4161 |
Ef ped hydrolyzed/amino acid |
58 |
53 |
$17K |
| B4088 |
Gastro/jejuno tube, low-pro |
68 |
68 |
$8K |
| B9002 |
Enter nutr inf pump any type |
163 |
163 |
$8K |
| S9338 |
Hit immunotherapy diem |
51 |
26 |
$1K |
| E0776 |
Iv pole |
220 |
218 |
$1K |