| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
2,464 |
1,933 |
$590K |
| B9002 |
Enter nutr inf pump any type |
2,186 |
1,921 |
$192K |
| B4152 |
Ef calorie dense>/=1.5kcal |
436 |
337 |
$93K |
| B4034 |
Enter feed supkit syr by day |
763 |
593 |
$90K |
| B4088 |
Gastro/jejuno tube, low-pro |
457 |
414 |
$49K |
| B4150 |
Ef complet w/intact nutrient |
282 |
216 |
$47K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
294 |
228 |
$47K |
| A4425 |
Ost pch drain for barrier fl |
868 |
768 |
$43K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
463 |
425 |
$34K |
| A4385 |
Ost skn barrier sld ext wear |
1,008 |
837 |
$15K |
| A4351 |
Straight tip urine catheter |
74 |
61 |
$15K |
| A4362 |
Solid skin barrier |
237 |
214 |
$11K |
| A4407 |
Ext wear ost skn barr <=4sq" |
139 |
130 |
$9K |
| A4409 |
Ost skn barr convex <=4 sq i |
206 |
177 |
$9K |
| A4406 |
Pectin based ostomy paste |
464 |
404 |
$7K |
| B4161 |
Ef ped hydrolyzed/amino acid |
13 |
12 |
$6K |
| A5063 |
Drain ostomy pouch w/flange |
42 |
37 |
$1K |
| A4371 |
Skin barrier powder per oz |
409 |
357 |
$1K |
| A5120 |
Skin barrier, wipe or swab |
43 |
38 |
$293.14 |
| A4357 |
Bedside drainage bag |
28 |
26 |
$225.30 |
| A4452 |
Waterproof tape |
16 |
12 |
$71.01 |