| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
7,822 |
1,169 |
$448K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,428 |
1,960 |
$54K |
| B4034 |
Enter feed supkit syr by day |
7,927 |
2,126 |
$39K |
| B4035 |
Enteral feed supp pump per d |
3,000 |
1,350 |
$28K |
| A4221 |
Supp non-insulin inf cath/wk |
5,586 |
1,122 |
$24K |
| B4150 |
Ef complet w/intact nutrient |
1,282 |
722 |
$11K |
| S9500 |
Hit antibiotic q24h diem |
107 |
12 |
$5K |
| J2260 |
Inj milrinone lactate / 5 mg |
258 |
25 |
$5K |
| B4154 |
Ef spec metabolic noninherit |
56 |
27 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
245 |
63 |
$858.05 |
| E0781 |
External ambulatory infus pu |
16 |
12 |
$415.30 |