| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
38,822 |
10,049 |
$1.32M |
| 99601 |
|
4,321 |
1,711 |
$354K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,316 |
2,223 |
$282K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
4,803 |
3,573 |
$276K |
| 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 |
1,588 |
1,095 |
$200K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,804 |
687 |
$185K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
501 |
452 |
$150K |
| G0154 |
Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes |
1,861 |
694 |
$148K |
| B9998 |
Noc for enteral supplies |
1,989 |
1,835 |
$136K |
| A6247 |
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
2,112 |
1,727 |
$121K |
| S9379 |
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
644 |
375 |
$105K |
| A4322 |
Irrigation syringe, bulb or piston, each |
4,112 |
3,733 |
$101K |
| 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 |
301 |
282 |
$101K |
| 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 |
330 |
206 |
$96K |
| A4927 |
Gloves, non-sterile, per 100 |
11,328 |
8,468 |
$65K |
| E0776 |
Iv pole |
840 |
767 |
$60K |
| B9002 |
Enteral nutrition infusion pump, any type |
738 |
689 |
$59K |
| 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 |
492 |
287 |
$55K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
9,725 |
7,582 |
$52K |
| A5200 |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
1,242 |
975 |
$51K |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
875 |
450 |
$38K |
| S1015 |
Iv tubing extension set |
5,909 |
4,655 |
$33K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
1,674 |
860 |
$30K |
| E0791 |
Parenteral infusion pump, stationary, single or multi-channel |
114 |
95 |
$29K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
204 |
198 |
$28K |
| A6447 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard |
6,219 |
4,456 |
$21K |
| 99602 |
Nursing care in home rn |
179 |
102 |
$21K |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
696 |
691 |
$19K |
| A4657 |
Syringe, with or without needle, each |
3,948 |
2,970 |
$19K |
| A4245 |
Alcohol wipes, per box |
11,755 |
8,871 |
$11K |
| 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 |
27 |
12 |
$7K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
1,454 |
769 |
$5K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
41 |
40 |
$4K |
| A4212 |
Non-coring needle or stylet with or without catheter |
112 |
70 |
$3K |
| A4215 |
Needle, sterile, any size, each |
638 |
451 |
$2K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
1,038 |
959 |
$2K |
| S5501 |
Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
44 |
25 |
$2K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
100 |
83 |
$2K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13 |
13 |
$1K |
| B9999 |
Noc for parenteral supplies |
17 |
12 |
$1K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
88 |
83 |
$391.34 |
| A6246 |
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
17 |
16 |
$377.17 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
76 |
61 |
$213.67 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
29 |
14 |
$115.49 |
| 0551 |
|
1,305 |
394 |
$0.00 |