| 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 |
7,260 |
2,171 |
$2.05M |
| S9340 |
Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
15,374 |
3,805 |
$1.28M |
| S9355 |
Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,981 |
1,228 |
$298K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,123 |
1,081 |
$123K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
700 |
204 |
$30K |
| S9329 |
Home infusion therapy, chemotherapy infusion; 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 with s9330 or s9331) |
227 |
114 |
$29K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
246 |
115 |
$9K |
| B9998 |
Noc for enteral supplies |
158 |
133 |
$8K |
| 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 |
76 |
65 |
$3K |
| A4322 |
Irrigation syringe, bulb or piston, each |
219 |
162 |
$2K |
| A4657 |
Syringe, with or without needle, each |
213 |
119 |
$691.92 |
| S1015 |
Iv tubing extension set |
85 |
38 |
$651.40 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
21 |
12 |
$458.12 |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13 |
12 |
$344.28 |
| A4245 |
Alcohol wipes, per box |
132 |
60 |
$49.22 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
22 |
12 |
$38.45 |