| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
4,691 |
4,460 |
$791K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
1,688 |
1,162 |
$459K |
| B9998 |
Noc for enteral supplies |
4,861 |
4,101 |
$292K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,772 |
1,752 |
$236K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 |
287 |
269 |
$77K |
| B9002 |
Enteral nutrition infusion pump, any type |
280 |
279 |
$27K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
14 |
13 |
$8K |
| A4657 |
Syringe, with or without needle, each |
42 |
42 |
$149.84 |
| 90686 |
|
18 |
18 |
$132.28 |