| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
5,818 |
5,568 |
$207K |
| B4154 |
Ef spec metabolic noninherit |
2,080 |
2,009 |
$184K |
| B4150 |
Ef complet w/intact nutrient |
2,179 |
2,097 |
$93K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,357 |
1,305 |
$69K |
| B9002 |
Enter nutr inf pump any type |
3,622 |
3,599 |
$66K |
| E0372 |
Powered air mattress overlay |
296 |
236 |
$61K |
| E0776 |
Iv pole |
10,085 |
10,073 |
$31K |
| B4034 |
Enter feed supkit syr by day |
343 |
315 |
$11K |
| B4088 |
Gastro/jejuno tube, low-pro |
44 |
44 |
$6K |
| E0277 |
Powered pres-redu air mattrs |
14 |
13 |
$4K |
| B9998 |
Enteral supp not otherwise c |
14 |
14 |
$865.22 |