| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B5200 |
Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix |
2,849 |
650 |
$1.08M |
| B4189 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix |
1,495 |
175 |
$367K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
2,355 |
578 |
$365K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
500 |
180 |
$149K |
| B4224 |
Parenteral nutrition administration kit, per day |
1,394 |
310 |
$132K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,436 |
834 |
$109K |
| A4211 |
Supplies for self-administered injections |
1,288 |
363 |
$79K |
| 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 |
146 |
115 |
$73K |
| S9372 |
Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency) |
1,346 |
153 |
$57K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,515 |
1,257 |
$52K |
| 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 |
1,005 |
882 |
$51K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
1,375 |
310 |
$43K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,565 |
1,362 |
$43K |
| 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 |
197 |
167 |
$39K |
| 99601 |
|
283 |
137 |
$14K |
| B9004 |
Parenteral nutrition infusion pump, portable |
43 |
39 |
$8K |
| 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 |
28 |
26 |
$3K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
30 |
12 |
$864.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
50 |
27 |
$751.26 |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
28 |
12 |
$417.55 |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
12 |
12 |
$335.25 |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
14 |
13 |
$222.21 |
| A4927 |
Gloves, non-sterile, per 100 |
112 |
53 |
$151.52 |
| A4455 |
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
53 |
25 |
$24.06 |
| A4245 |
Alcohol wipes, per box |
40 |
26 |
$23.63 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
25 |
12 |
$15.40 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
400 |
170 |
$0.00 |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
54 |
28 |
$0.00 |