| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
12,882 |
10,696 |
$2.87M |
| B9998 |
Enteral supp not otherwise c |
4,999 |
4,451 |
$629K |
| A4222 |
Infusion supplies with pump |
2,191 |
812 |
$189K |
| B9002 |
Enter nutr inf pump any type |
1,145 |
1,001 |
$180K |
| B4034 |
Enter feed supkit syr by day |
1,535 |
1,270 |
$118K |
| A4221 |
Supp non-insulin inf cath/wk |
5,943 |
2,547 |
$105K |
| B4224 |
Parenteral administration ki |
945 |
235 |
$90K |
| A4305 |
Drug delivery system >=50 ml |
1,205 |
446 |
$88K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,411 |
2,162 |
$60K |
| 99601 |
|
928 |
261 |
$47K |
| B4220 |
Parenteral supply kit premix |
932 |
232 |
$30K |
| E0776 |
Iv pole |
218 |
197 |
$20K |
| B4036 |
Enteral feed sup kit grav by |
42 |
39 |
$5K |
| B4152 |
Ef calorie dense>/=1.5kcal |
184 |
122 |
$5K |
| E0570 |
Nebulizer with compression |
18 |
15 |
$532.60 |
| A4604 |
Tubing with heating element |
12 |
12 |
$359.73 |
| A7005 |
Nondisposable nebulizer set |
17 |
15 |
$237.42 |
| A7038 |
Pos airway pressure filter |
69 |
69 |
$232.00 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$135.41 |