| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
4,400 |
3,634 |
$1.95M |
| S9097 |
Home visit for wound care |
11,246 |
1,369 |
$676K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
6,814 |
1,187 |
$362K |
| B9002 |
Enteral nutrition infusion pump, any type |
545 |
465 |
$224K |
| 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 |
482 |
424 |
$109K |
| 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 |
48 |
36 |
$86K |
| S9494 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
1,713 |
196 |
$49K |
| 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 |
930 |
318 |
$47K |
| 97602 |
|
536 |
68 |
$35K |
| 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 |
85 |
53 |
$10K |
| J9190 |
Injection, fluorouracil, 500 mg |
602 |
366 |
$9K |
| M0223 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
52 |
44 |
$8K |
| T1001 |
Nursing assessment / evaluation |
199 |
175 |
$8K |
| 0012A |
|
101 |
85 |
$4K |
| 0011A |
|
155 |
129 |
$4K |
| M0248 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
13 |
13 |
$2K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
15 |
12 |
$854.76 |
| 0064A |
|
20 |
14 |
$200.01 |
| 91301 |
|
204 |
172 |
$0.01 |