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B4105
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
Medicaid paid $28.50M on code B4105 from 2018 through 2024, to 22 providers — the #1,299 code in the file by dollars.
28Total paid$28.50M
24GClaims6,551
Paid per claim line$4K
33Providers billing it22
Box 32 · Location
Where B4105 is billed
The largest of 16 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing B4105
| # | Provider | Location | Claims | Paid on B4105 |
|---|---|---|---|---|
| 1 | Bioplus Specialty Pharmacy Ca, LLC | Garden Grove, CA | 977 | $6.29M |
| 2 | Option Care Enterprises INC | Morrisville, NC | 1,079 | $3.79M |
| 3 | Clinical Specialties INC. | Hudson, OH | 1,127 | $2.83M |
| 4 | East Goshen Pharmacy, LLC | Audubon, PA | 375 | $2.46M |
| 5 | Option Care Enterprises, INC. | Irving, TX | 564 | $2.28M |
| 6 | Option Care Enterprises, INC. | Itasca, IL | 476 | $2.06M |
| 7 | Option Care Enterprises, INC. | Tampa, FL | 433 | $1.52M |
| 8 | Option Care Enterprises, INC. | Carmel, IN | 364 | $1.36M |
| 9 | Kroger Specialty Pharmacy FL 2 LLC | Orlando, FL | 125 | $1.09M |
| 10 | Critical Care Systems, LLC | Tempe, AZ | 109 | $982K |
| 11 | Option Care Home Care, INC | San Antonio, TX | 225 | $880K |
| 12 | Option Care Enterprises, INC. | Miramar, FL | 65 | $559K |
| 13 | Option Care Enterprises INC | Louisville, KY | 143 | $482K |
| 14 | Option Care Enterprises, INC. | Houston, TX | 67 | $425K |
| 15 | Option Care Infusion Services, LLC | Nashville, TN | 166 | $410K |
| 16 | Bioplus Specialty Pharmacy, INC. | Lake Mary, FL | 67 | $313K |
| 17 | Option Care Enterprises, INC. | Columbia, MD | 62 | $229K |
| 18 | Option Care Enterprises, INC. | Farmington Hills, MI | 44 | $204K |
| 19 | Option Care Enterprises INC | Marlborough, MA | 42 | $180K |
| 20 | Option Care Enterprises, INC. | Overland Park, KS | 12 | $89K |
| 21 | Option Care Enterprises, INC. | Fenton, MO | 14 | $49K |
| 22 | Foundation Care LLC | Chesterfield, MO | 15 | $25K |