| Code | Description | Claims | Beneficiaries | Total Paid |
| S9500 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
5,491 |
890 |
$770K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
15,325 |
2,115 |
$438K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
7,400 |
3,012 |
$111K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
586 |
194 |
$23K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
926 |
407 |
$23K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
603 |
208 |
$19K |
| S9330 |
Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
135 |
51 |
$15K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
319 |
145 |
$13K |
| J9190 |
Injection, fluorouracil, 500 mg |
707 |
261 |
$5K |
| B9002 |
Enteral nutrition infusion pump, any type |
71 |
60 |
$3K |
| S9374 |
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
118 |
12 |
$2K |