| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
33,469 |
3,621 |
$626K |
| B4035 |
Enteral feed supp pump per d |
3,850 |
3,377 |
$622K |
| B4161 |
Ef ped hydrolyzed/amino acid |
961 |
841 |
$556K |
| B4149 |
Ef blenderized foods |
866 |
766 |
$366K |
| A4221 |
Supp non-insulin inf cath/wk |
6,220 |
2,841 |
$162K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,743 |
1,483 |
$148K |
| B4034 |
Enter feed supkit syr by day |
2,040 |
1,729 |
$108K |
| E0776 |
Iv pole |
345 |
343 |
$50K |
| B4150 |
Ef complet w/intact nutrient |
554 |
427 |
$46K |
| A4222 |
Infusion supplies with pump |
610 |
85 |
$40K |
| B9002 |
Enter nutr inf pump any type |
171 |
170 |
$21K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
59 |
53 |
$11K |
| B4088 |
Gastro/jejuno tube, low-pro |
39 |
38 |
$6K |