| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4152 |
Ef calorie dense>/=1.5kcal |
2,855 |
2,802 |
$536K |
| B4035 |
Enteral feed supp pump per d |
2,468 |
2,324 |
$475K |
| B4150 |
Ef complet w/intact nutrient |
2,905 |
2,845 |
$375K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,822 |
1,790 |
$287K |
| B4087 |
Gastro/jejuno tube, std |
4,138 |
1,990 |
$95K |
| B4034 |
Enter feed supkit syr by day |
1,236 |
1,176 |
$78K |
| B9002 |
Enter nutr inf pump any type |
1,200 |
1,189 |
$69K |
| S9500 |
Hit antibiotic q24h diem |
675 |
102 |
$35K |
| B4036 |
Enteral feed sup kit grav by |
92 |
90 |
$15K |
| B4088 |
Gastro/jejuno tube, low-pro |
105 |
103 |
$12K |
| S9502 |
Hit antibiotic q8h diem |
85 |
27 |
$8K |
| E0776 |
Iv pole |
922 |
912 |
$8K |
| B4161 |
Ef ped hydrolyzed/amino acid |
13 |
12 |
$4K |