| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
2,422 |
1,890 |
$1.04M |
| B4035 |
Enteral feed supp pump per d |
8,844 |
4,516 |
$1.00M |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,276 |
1,782 |
$359K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,641 |
2,167 |
$342K |
| B4153 |
Ef hydrolyzed/amino acids |
502 |
407 |
$306K |
| B4149 |
Ef blenderized foods |
781 |
543 |
$291K |
| B4150 |
Ef complet w/intact nutrient |
1,748 |
1,385 |
$252K |
| B9998 |
Enteral supp not otherwise c |
1,932 |
1,472 |
$226K |
| B4155 |
Ef incomplete/modular |
1,469 |
1,209 |
$216K |
| B9002 |
Enter nutr inf pump any type |
3,291 |
1,841 |
$162K |
| B4034 |
Enter feed supkit syr by day |
2,731 |
1,504 |
$126K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,065 |
962 |
$111K |
| B4154 |
Ef spec metabolic noninherit |
99 |
78 |
$29K |
| B4103 |
Ef ped fluid and electrolyte |
42 |
36 |
$4K |