| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
20,747 |
19,191 |
$7.73M |
| B9998 |
Noc for enteral supplies |
10,991 |
9,111 |
$6.09M |
| 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 |
35,840 |
7,040 |
$4.11M |
| 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 |
2,886 |
1,103 |
$1.79M |
| 99601 |
|
7,096 |
3,409 |
$984K |
| S9338 |
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
2,115 |
1,534 |
$673K |
| S9364 |
Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales) |
488 |
109 |
$461K |
| S9341 |
Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
954 |
897 |
$361K |
| 99602 |
Nursing care in home rn |
1,770 |
1,092 |
$252K |
| J3490 |
Unclassified drugs |
246 |
82 |
$144K |
| S5498 |
Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem |
1,651 |
331 |
$142K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
781 |
754 |
$100K |
| 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 |
146 |
138 |
$52K |
| S9562 |
Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,014 |
996 |
$23K |
| B4081 |
Nasogastric tubing with stylet |
569 |
533 |
$22K |
| A5120 |
Skin barrier, wipes or swabs, each |
810 |
780 |
$20K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,492 |
2,349 |
$18K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
100 |
51 |
$11K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
693 |
632 |
$10K |
| A4452 |
Tape, waterproof, per 18 square inches |
2,833 |
2,675 |
$9K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
714 |
680 |
$9K |
| 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 |
198 |
147 |
$6K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
597 |
553 |
$5K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
2,490 |
2,362 |
$3K |
| S5497 |
Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
37 |
14 |
$2K |
| 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 |
105 |
90 |
$2K |
| E1399 |
Durable medical equipment, miscellaneous |
125 |
120 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
475 |
208 |
$920.37 |
| A4217 |
Sterile water/saline, 500 ml |
68 |
38 |
$131.49 |
| A4371 |
Ostomy skin barrier, powder, per oz |
14 |
14 |
$64.01 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
36 |
36 |
$40.31 |
| A4215 |
Needle, sterile, any size, each |
593 |
562 |
$20.72 |