| 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 |
6,560 |
6,281 |
$2.90M |
| B9998 |
Noc for enteral supplies |
41,769 |
36,331 |
$2.20M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
18,237 |
18,032 |
$2.04M |
| 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 |
4,082 |
3,918 |
$1.81M |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
11,557 |
11,445 |
$1.36M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
34,911 |
3,730 |
$931K |
| B9999 |
Noc for parenteral supplies |
25,201 |
3,470 |
$824K |
| A4322 |
Irrigation syringe, bulb or piston, each |
27,628 |
25,531 |
$399K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
2,060 |
897 |
$274K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,136 |
1,124 |
$268K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14,876 |
14,059 |
$167K |
| S1015 |
Iv tubing extension set |
8,897 |
2,207 |
$143K |
| T5999 |
Supply, not otherwise specified |
21,937 |
3,533 |
$136K |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
13,273 |
2,855 |
$86K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
406 |
391 |
$70K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,229 |
1,425 |
$62K |
| A4657 |
Syringe, with or without needle, each |
21,863 |
15,503 |
$51K |
| 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 |
95 |
37 |
$38K |
| 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 |
256 |
154 |
$29K |
| E0776 |
Iv pole |
925 |
908 |
$28K |
| A4930 |
Gloves, sterile, per pair |
9,087 |
3,113 |
$24K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
1,986 |
873 |
$18K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
5,509 |
1,673 |
$17K |
| 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 |
30 |
12 |
$12K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
10,197 |
2,795 |
$11K |
| A4245 |
Alcohol wipes, per box |
10,873 |
3,580 |
$8K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
152 |
148 |
$6K |
| A4456 |
Adhesive remover, wipes, any type, each |
8,644 |
2,838 |
$5K |
| A5120 |
Skin barrier, wipes or swabs, each |
7,905 |
2,604 |
$4K |
| B4081 |
Nasogastric tubing with stylet |
160 |
154 |
$4K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
2,540 |
760 |
$3K |
| 99601 |
|
32 |
24 |
$3K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
1,100 |
546 |
$3K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
82 |
77 |
$2K |
| A4215 |
Needle, sterile, any size, each |
2,470 |
881 |
$2K |
| A4247 |
Betadine or iodine swabs/wipes, per box |
327 |
101 |
$206.86 |
| A4332 |
Lubricant, individual sterile packet, each |
3,847 |
3,832 |
$158.33 |