| 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 |
239,680 |
38,918 |
$10.45M |
| 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 |
14,734 |
9,392 |
$9.10M |
| 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 |
16,231 |
9,673 |
$2.97M |
| B4224 |
Parenteral nutrition administration kit, per day |
62,587 |
5,896 |
$2.77M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
29,165 |
9,785 |
$2.67M |
| 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 |
104,978 |
6,372 |
$2.15M |
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
476 |
406 |
$2.06M |
| 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 |
6,711 |
4,089 |
$1.90M |
| 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 |
6,772 |
4,598 |
$1.52M |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
36,157 |
4,904 |
$1.48M |
| 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 |
12,165 |
8,673 |
$1.36M |
| 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 |
3,026 |
2,132 |
$1.28M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
15,637 |
2,572 |
$1.15M |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
8,279 |
7,002 |
$969K |
| 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 |
7,202 |
4,167 |
$775K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
21,866 |
6,311 |
$644K |
| B9002 |
Enteral nutrition infusion pump, any type |
5,857 |
5,466 |
$475K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14,076 |
3,574 |
$471K |
| 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 |
8,520 |
3,888 |
$353K |
| B4158 |
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit |
2,533 |
1,657 |
$210K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
10,583 |
4,299 |
$206K |
| 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 |
4,212 |
3,026 |
$156K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
15,065 |
1,317 |
$130K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
2,571 |
580 |
$47K |
| B4197 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix |
91 |
24 |
$35K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,746 |
3,416 |
$29K |
| B4082 |
Nasogastric tubing without stylet |
2,158 |
1,633 |
$28K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
378 |
108 |
$28K |
| E0776 |
Iv pole |
2,756 |
2,527 |
$18K |
| A4452 |
Tape, waterproof, per 18 square inches |
2,941 |
2,671 |
$10K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
286 |
41 |
$6K |
| A6234 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
305 |
245 |
$5K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
298 |
241 |
$4K |
| B9998 |
Noc for enteral supplies |
16 |
13 |
$3K |
| A4402 |
Lubricant, per ounce |
1,360 |
1,220 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
940 |
768 |
$1K |
| A4930 |
Gloves, sterile, per pair |
68 |
31 |
$386.63 |
| A4927 |
Gloves, non-sterile, per 100 |
16 |
16 |
$132.42 |