| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
34,343 |
27,418 |
$8.18M |
| B4161 |
Ef ped hydrolyzed/amino acid |
9,652 |
8,115 |
$4.56M |
| B4149 |
Ef blenderized foods |
8,141 |
6,345 |
$3.37M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
20,883 |
17,877 |
$2.97M |
| B4154 |
Ef spec metabolic noninherit |
11,084 |
7,639 |
$1.48M |
| B4088 |
Gastro/jejuno tube, low-pro |
11,533 |
10,016 |
$1.40M |
| B9998 |
Enteral supp not otherwise c |
34,428 |
27,811 |
$1.30M |
| B4153 |
Ef hydrolyzed/amino acids |
2,636 |
1,921 |
$1.12M |
| B4152 |
Ef calorie dense>/=1.5kcal |
7,338 |
6,038 |
$1.08M |
| B4034 |
Enter feed supkit syr by day |
8,661 |
6,771 |
$959K |
| B4150 |
Ef complet w/intact nutrient |
7,546 |
6,082 |
$922K |
| B9002 |
Enter nutr inf pump any type |
10,424 |
8,805 |
$785K |
| B4158 |
Ef ped complete intact nut |
3,526 |
2,939 |
$332K |
| E0776 |
Iv pole |
5,397 |
4,606 |
$266K |
| T4530 |
Ped size brief/diaper lg |
4,251 |
3,313 |
$253K |
| T4534 |
Youth size pull-on |
4,321 |
3,383 |
$226K |
| B4036 |
Enteral feed sup kit grav by |
1,676 |
1,242 |
$197K |
| B4155 |
Ef incomplete/modular |
6,278 |
4,941 |
$182K |
| T4522 |
Adult size brief/diaper med |
2,058 |
1,762 |
$166K |
| T4541 |
Large disposable underpad |
3,700 |
3,243 |
$72K |
| B4081 |
Enteral ng tubing w/ stylet |
1,583 |
1,217 |
$71K |
| A4927 |
Non-sterile gloves |
5,691 |
4,536 |
$70K |
| B4082 |
Enteral ng tubing w/o stylet |
1,641 |
1,270 |
$51K |
| T4526 |
Adult size pull-on med |
692 |
553 |
$46K |
| B4103 |
Ef ped fluid and electrolyte |
291 |
248 |
$18K |
| T4537 |
Reusable underpad bed size |
525 |
391 |
$15K |
| T4532 |
Ped size pull-on lg |
225 |
195 |
$14K |
| A4351 |
Straight tip urine catheter |
72 |
61 |
$14K |
| T4535 |
Disposable liner/shield/pad |
295 |
261 |
$12K |
| A4322 |
Irrigation syringe |
357 |
318 |
$6K |
| B4100 |
Food thickener oral |
76 |
64 |
$4K |
| T4523 |
Adult size brief/diaper lg |
23 |
12 |
$1K |
| A4332 |
Lube sterile packet |
121 |
101 |
$1K |
| A4335 |
Incontinence supply |
418 |
380 |
$1K |
| A4213 |
20+ cc syringe only |
121 |
86 |
$292.10 |