| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
9,429 |
8,872 |
$1.20M |
| 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 |
2,585 |
1,930 |
$847K |
| B9998 |
Noc for enteral supplies |
9,790 |
8,632 |
$628K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
4,397 |
4,307 |
$481K |
| 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 |
18,427 |
980 |
$359K |
| 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 |
1,462 |
1,218 |
$155K |
| 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 |
1,403 |
1,127 |
$134K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,319 |
2,085 |
$122K |
| 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 |
910 |
200 |
$122K |
| 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 |
6,510 |
474 |
$95K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
312 |
160 |
$38K |
| B9002 |
Enteral nutrition infusion pump, any type |
271 |
265 |
$19K |
| 99601 |
|
175 |
71 |
$18K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
139 |
137 |
$10K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
51 |
15 |
$3K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
264 |
145 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
70 |
26 |
$2K |
| 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 |
16 |
12 |
$1K |
| A4322 |
Irrigation syringe, bulb or piston, each |
101 |
87 |
$1K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
25 |
12 |
$1K |
| E0776 |
Iv pole |
38 |
36 |
$39.71 |