| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
807 |
538 |
$134K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
1,495 |
617 |
$18K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
123 |
78 |
$9K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
36 |
24 |
$3K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
256 |
149 |
$2K |