| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
41,135 |
8,220 |
$265K |
| J3490 |
Unclassified drugs |
9,423 |
788 |
$206K |
| E0791 |
Parenteral infusion pump, stationary, single or multi-channel |
2,455 |
2,385 |
$185K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,130 |
621 |
$184K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
5,899 |
2,265 |
$172K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
10,249 |
2,081 |
$130K |
| 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 |
1,353 |
1,146 |
$68K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
485 |
169 |
$67K |
| 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) |
426 |
424 |
$64K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,988 |
1,606 |
$63K |
| 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 |
633 |
532 |
$58K |
| 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 |
143 |
74 |
$54K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
5,785 |
3,702 |
$46K |
| 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 |
1,207 |
746 |
$46K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,718 |
2,114 |
$45K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,239 |
1,240 |
$44K |
| 99601 |
|
423 |
217 |
$41K |
| S9374 |
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
173 |
106 |
$37K |
| B9999 |
Noc for parenteral supplies |
4,156 |
2,249 |
$31K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,602 |
1,548 |
$29K |
| E0776 |
Iv pole |
4,548 |
4,247 |
$26K |
| A4322 |
Irrigation syringe, bulb or piston, each |
1,694 |
1,601 |
$24K |
| T5999 |
Supply, not otherwise specified |
1,571 |
518 |
$18K |
| A4217 |
Sterile water/saline, 500 ml |
4,323 |
1,185 |
$17K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,317 |
1,293 |
$13K |
| S1015 |
Iv tubing extension set |
7,421 |
4,130 |
$13K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,074 |
2,772 |
$12K |
| A4657 |
Syringe, with or without needle, each |
9,725 |
4,669 |
$8K |
| A4245 |
Alcohol wipes, per box |
6,533 |
3,646 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
84 |
58 |
$5K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
297 |
85 |
$5K |
| B9998 |
Noc for enteral supplies |
254 |
245 |
$4K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
228 |
123 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
729 |
268 |
$2K |
| 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 |
16 |
12 |
$1K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
2,071 |
791 |
$872.89 |
| A4212 |
Non-coring needle or stylet with or without catheter |
144 |
93 |
$808.84 |
| A4927 |
Gloves, non-sterile, per 100 |
499 |
320 |
$791.48 |
| A4649 |
Surgical supply; miscellaneous |
803 |
642 |
$531.62 |
| A4215 |
Needle, sterile, any size, each |
2,038 |
701 |
$249.24 |
| A6403 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
26 |
26 |
$241.39 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
233 |
67 |
$177.83 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
618 |
533 |
$165.49 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
440 |
128 |
$158.25 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
145 |
136 |
$101.83 |
| K0603 |
Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each |
151 |
69 |
$40.17 |
| J7799 |
Noc drugs, other than inhalation drugs, administered through dme |
44 |
12 |
$0.00 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
42 |
12 |
$0.00 |