| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
9,815 |
5,615 |
$1.16M |
| A4222 |
Infusion supplies with pump |
1,426 |
515 |
$222K |
| B9002 |
Enter nutr inf pump any type |
3,790 |
2,911 |
$155K |
| A4221 |
Supp non-insulin inf cath/wk |
7,239 |
2,777 |
$123K |
| B9998 |
Enteral supp not otherwise c |
2,551 |
1,929 |
$110K |
| B4034 |
Enter feed supkit syr by day |
2,128 |
1,326 |
$88K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,406 |
1,177 |
$32K |
| E0776 |
Iv pole |
226 |
208 |
$22K |
| 99601 |
|
462 |
248 |
$9K |
| B4150 |
Ef complet w/intact nutrient |
165 |
124 |
$6K |
| K0552 |
Sup/ext non-ins inf pump syr |
2,339 |
754 |
$5K |
| E0781 |
External ambulatory infus pu |
48 |
39 |
$5K |
| B4152 |
Ef calorie dense>/=1.5kcal |
194 |
153 |
$4K |
| A4223 |
Infusion supplies w/o pump |
3,265 |
1,264 |
$108.00 |