| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
11,339 |
2,343 |
$1.50M |
| B4035 |
Enteral feed supp pump per d |
5,471 |
4,304 |
$1.12M |
| B4161 |
Ef ped hydrolyzed/amino acid |
999 |
817 |
$790K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,496 |
1,122 |
$553K |
| B4034 |
Enter feed supkit syr by day |
4,282 |
2,995 |
$392K |
| S9366 |
Hit tpn 2 liter diem |
1,406 |
63 |
$386K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,574 |
1,808 |
$342K |
| B4150 |
Ef complet w/intact nutrient |
3,025 |
1,833 |
$275K |
| B4149 |
Ef blenderized foods |
670 |
492 |
$183K |
| A4222 |
Infusion supplies with pump |
2,178 |
1,122 |
$151K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,649 |
1,377 |
$133K |
| A4221 |
Supp non-insulin inf cath/wk |
5,194 |
2,213 |
$74K |
| B9998 |
Enteral supp not otherwise c |
289 |
244 |
$18K |
| 99601 |
|
190 |
98 |
$12K |
| B9002 |
Enter nutr inf pump any type |
57 |
36 |
$2K |
| E0776 |
Iv pole |
37 |
25 |
$1K |