| 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 |
114,393 |
8,029 |
$3.83M |
| 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 |
46,335 |
4,413 |
$3.11M |
| 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 |
6,405 |
3,613 |
$2.26M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
7,823 |
6,202 |
$1.65M |
| 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 |
14,949 |
1,780 |
$1.10M |
| J0878 |
Injection, daptomycin, 1 mg |
6,457 |
480 |
$1.06M |
| 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 |
16,002 |
1,434 |
$1.04M |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
2,819 |
1,460 |
$834K |
| 99601 |
|
10,572 |
4,242 |
$831K |
| S9502 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
10,714 |
1,096 |
$808K |
| 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 |
6,338 |
4,132 |
$795K |
| J1557 |
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg |
165 |
53 |
$782K |
| S9351 |
Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem |
10,278 |
480 |
$776K |
| 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 |
6,718 |
4,043 |
$573K |
| 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 |
18,867 |
1,490 |
$393K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
27,738 |
1,345 |
$388K |
| 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 |
17,810 |
1,418 |
$334K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,946 |
2,379 |
$321K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
2,300 |
529 |
$316K |
| 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 |
3,486 |
1,191 |
$312K |
| 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 |
1,490 |
992 |
$302K |
| 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 |
5,111 |
1,190 |
$281K |
| S9348 |
Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
4,046 |
194 |
$254K |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,079 |
711 |
$241K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
8,021 |
3,222 |
$208K |
| 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 |
11,591 |
1,043 |
$169K |
| 99602 |
Nursing care in home rn |
1,477 |
718 |
$158K |
| 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 |
13,516 |
650 |
$148K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,360 |
1,075 |
$137K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
8,160 |
3,250 |
$124K |
| 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 |
1,586 |
989 |
$123K |
| B9998 |
Noc for enteral supplies |
1,039 |
903 |
$122K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
778 |
161 |
$122K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,009 |
587 |
$110K |
| J2260 |
Injection, milrinone lactate, 5 mg |
2,587 |
274 |
$87K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,056 |
207 |
$81K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,366 |
1,139 |
$76K |
| S9366 |
Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, 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 |
259 |
24 |
$55K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
777 |
206 |
$48K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
614 |
412 |
$43K |
| J1559 |
Injection, immune globulin (hizentra), 100 mg |
72 |
12 |
$38K |
| B9002 |
Enteral nutrition infusion pump, any type |
219 |
194 |
$22K |
| 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 |
75 |
36 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
433 |
88 |
$9K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
74 |
13 |
$8K |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
64 |
15 |
$5K |
| B4224 |
Parenteral nutrition administration kit, per day |
53 |
12 |
$4K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
106 |
27 |
$3K |
| E0776 |
Iv pole |
28 |
27 |
$798.92 |
| S9359 |
Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
16 |
13 |
$652.65 |