NBN INFUSIONS INC

$323K

Total Medicaid Paid

2,886

Total Claims

2,718

Beneficiaries

35

Codes Billed

2020-04

First Month

2020-12

Last Month

Year	Claims	Total Paid
2020	2,886	$323K

Code	Description	Claims	Beneficiaries	Total Paid
B4161	Ef ped hydrolyzed/amino acid	78	71	$67K
B4035	Enteral feed supp pump per d	272	211	$67K
S9342	Hit enteral pump diem	54	50	$43K
E0465	Home vent invasive interface	48	30	$35K
B4160	Ef ped caloric dense>/=0.7kc	92	89	$28K
E0570	Nebulizer with compression	184	184	$15K
B9998	Enteral supp not otherwise c	87	82	$14K
E1390	Oxygen concentrator	125	125	$11K
B9002	Enter nutr inf pump any type	79	79	$8K
E0601	Cont airway pressure device	137	137	$7K
A7030	Cpap full face mask	47	46	$5K
E0431	Portable gaseous 02	155	155	$3K
A4606	Oxygen probe used w oximeter	83	75	$3K
E0445	Oximeter non-invasive	35	35	$3K
A7526	Tracheostomy tube collar	42	38	$2K
A7507	Integrated filter & holder	35	31	$2K
E0562	Humidifier heated used w pap	135	135	$2K
A4604	Tubing with heating element	67	66	$2K
B4088	Gastro/jejuno tube, low-pro	42	41	$1K
A7005	Nondisposable nebulizer set	124	124	$1K
A7035	Pos airway press headgear	72	71	$974.25
E0600	Suction pump portab hom modl	40	31	$757.90
A7000	Disposable canister for pump	59	57	$684.64
A7038	Pos airway pressure filter	150	143	$536.94
A7034	Nasal application device	15	15	$450.36
A4927	Non-sterile gloves	37	32	$429.00
A7002	Tubing used w suction pump	63	57	$356.07
A7003	Nebulizer administration set	154	150	$274.20
A6402	Sterile gauze <= 16 sq in	39	35	$273.30
A4628	Oropharyngeal suction cath	37	31	$257.34
A7046	Repl water chamber, pap dev	34	34	$236.97
A7015	Aerosol mask used w nebulize	204	200	$204.40
A7039	Filter, non disposable w pap	32	32	$140.41
A4216	Sterile water/saline, 10 ml	15	13	$139.20
A7525	Tracheostomy mask	14	13	$42.47

Medicaid Provider Spending