| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
3,745 |
2,940 |
$2.71M |
| B4035 |
Enteral feed supp pump per d |
7,671 |
5,681 |
$985K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,471 |
3,609 |
$854K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,038 |
2,220 |
$286K |
| B9002 |
Enter nutr inf pump any type |
4,282 |
3,386 |
$192K |
| B4034 |
Enter feed supkit syr by day |
2,734 |
1,973 |
$172K |
| B4149 |
Ef blenderized foods |
519 |
447 |
$154K |
| B4158 |
Ef ped complete intact nut |
747 |
577 |
$135K |
| B4150 |
Ef complet w/intact nutrient |
1,669 |
1,200 |
$133K |
| B4154 |
Ef spec metabolic noninherit |
451 |
321 |
$85K |
| B4153 |
Ef hydrolyzed/amino acids |
191 |
142 |
$76K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,164 |
1,810 |
$43K |
| B4100 |
Food thickener oral |
988 |
752 |
$42K |
| E0776 |
Iv pole |
3,968 |
3,204 |
$33K |
| B4155 |
Ef incomplete/modular |
443 |
357 |
$17K |
| B9998 |
Enteral supp not otherwise c |
1,565 |
1,209 |
$16K |
| B4082 |
Enteral ng tubing w/o stylet |
509 |
350 |
$11K |
| B4036 |
Enteral feed sup kit grav by |
121 |
94 |
$10K |
| B4103 |
Ef ped fluid and electrolyte |
26 |
24 |
$5K |