| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
8,848 |
2,478 |
$444K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
4,612 |
1,155 |
$181K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
4,025 |
1,837 |
$65K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
820 |
302 |
$64K |
| 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 |
637 |
372 |
$45K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
2,666 |
249 |
$43K |
| 99601 |
|
516 |
211 |
$42K |
| 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 |
866 |
182 |
$42K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
749 |
166 |
$41K |
| 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 |
772 |
89 |
$35K |
| B4224 |
Parenteral nutrition administration kit, per day |
1,301 |
114 |
$20K |
| 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 |
80 |
50 |
$12K |
| 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 |
390 |
27 |
$9K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
60 |
37 |
$4K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
799 |
75 |
$4K |
| 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 |
26 |
12 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
29 |
15 |
$188.25 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
12 |
$50.69 |