| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
12,619 |
9,288 |
$2.66M |
| B4161 |
Ef ped hydrolyzed/amino acid |
3,632 |
2,230 |
$1.32M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
5,954 |
4,191 |
$998K |
| B4149 |
Ef blenderized foods |
6,824 |
2,258 |
$888K |
| B4224 |
Parenteral administration ki |
8,100 |
1,826 |
$782K |
| B4034 |
Enter feed supkit syr by day |
6,045 |
4,500 |
$623K |
| A4222 |
Infusion supplies with pump |
6,036 |
1,738 |
$607K |
| B4150 |
Ef complet w/intact nutrient |
1,993 |
1,462 |
$329K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,709 |
2,525 |
$324K |
| S5501 |
Hit complex cath care |
7,976 |
3,121 |
$316K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,111 |
1,604 |
$304K |
| B9002 |
Enter nutr inf pump any type |
3,343 |
3,004 |
$228K |
| A4221 |
Supp non-insulin inf cath/wk |
9,940 |
3,831 |
$226K |
| S9500 |
Hit antibiotic q24h diem |
4,649 |
1,787 |
$219K |
| B4100 |
Food thickener oral |
1,866 |
1,694 |
$214K |
| E0781 |
External ambulatory infus pu |
10,613 |
706 |
$91K |
| B4154 |
Ef spec metabolic noninherit |
293 |
250 |
$72K |
| E0776 |
Iv pole |
1,512 |
1,145 |
$16K |
| B4153 |
Ef hydrolyzed/amino acids |
43 |
24 |
$13K |
| B4155 |
Ef incomplete/modular |
97 |
75 |
$4K |
| B4087 |
Gastro/jejuno tube, std |
127 |
104 |
$3K |