| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
53,925 |
47,548 |
$12.92M |
| B9002 |
Enter nutr inf pump any type |
72,902 |
62,339 |
$5.41M |
| B4034 |
Enter feed supkit syr by day |
43,136 |
38,857 |
$4.27M |
| B4088 |
Gastro/jejuno tube, low-pro |
13,475 |
11,986 |
$2.06M |
| B4224 |
Parenteral administration ki |
6,302 |
2,868 |
$1.46M |
| B9998 |
Enteral supp not otherwise c |
63,841 |
56,038 |
$1.21M |
| B9004 |
Parenteral infus pump portab |
3,014 |
2,887 |
$849K |
| S9500 |
Hit antibiotic q24h diem |
3,625 |
1,944 |
$651K |
| B4220 |
Parenteral supply kit premix |
6,312 |
2,866 |
$468K |
| A4213 |
20+ cc syringe only |
13,552 |
12,663 |
$255K |
| E0202 |
Phototherapy light w/ photom |
2,847 |
871 |
$240K |
| A5200 |
Percutaneous catheter anchor |
7,823 |
6,621 |
$235K |
| E0781 |
External ambulatory infus pu |
1,104 |
1,080 |
$185K |
| E0776 |
Iv pole |
2,426 |
2,311 |
$177K |
| B4161 |
Ef ped hydrolyzed/amino acid |
278 |
249 |
$176K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
395 |
362 |
$122K |
| A4222 |
Infusion supplies with pump |
475 |
139 |
$96K |
| S5498 |
Hit simple cath care |
1,464 |
804 |
$77K |
| B4036 |
Enteral feed sup kit grav by |
3,902 |
3,664 |
$63K |
| A4452 |
Waterproof tape |
7,107 |
6,404 |
$49K |
| S9502 |
Hit antibiotic q8h diem |
262 |
76 |
$45K |
| A6216 |
Non-sterile gauze<=16 sq in |
3,845 |
3,526 |
$31K |
| E1399 |
Durable medical equipment mi |
129 |
101 |
$25K |
| A4400 |
Ostomy irrigation set |
758 |
713 |
$25K |
| A4398 |
Ostomy irrigation bag |
1,047 |
975 |
$25K |
| S9373 |
Hit hydra total diem |
51 |
40 |
$7K |
| A4927 |
Non-sterile gloves |
638 |
617 |
$7K |
| B4082 |
Enteral ng tubing w/o stylet |
86 |
79 |
$3K |
| A4450 |
Non-waterproof tape |
926 |
887 |
$2K |
| A4351 |
Straight tip urine catheter |
72 |
67 |
$534.48 |
| A6402 |
Sterile gauze <= 16 sq in |
116 |
114 |
$458.20 |