| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
11,232 |
2,886 |
$877K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,033 |
2,766 |
$345K |
| 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 |
3,691 |
716 |
$252K |
| 99601 |
|
2,790 |
1,124 |
$204K |
| B9998 |
Noc for enteral supplies |
2,338 |
1,940 |
$118K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,011 |
402 |
$82K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
382 |
218 |
$52K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
199 |
192 |
$22K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
453 |
408 |
$20K |
| S1015 |
Iv tubing extension set |
804 |
222 |
$19K |
| 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 |
172 |
145 |
$13K |
| B9999 |
Noc for parenteral supplies |
285 |
79 |
$8K |
| S9501 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
109 |
12 |
$5K |
| 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 |
180 |
24 |
$4K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
25 |
13 |
$3K |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
100 |
38 |
$266.39 |