| 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 |
1,474 |
1,356 |
$578K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,005 |
1,783 |
$230K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
1,865 |
467 |
$189K |
| 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 |
742 |
567 |
$154K |
| 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 |
380 |
319 |
$50K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
490 |
469 |
$43K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,186 |
322 |
$33K |
| B9002 |
Enteral nutrition infusion pump, any type |
455 |
453 |
$29K |
| 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 |
200 |
52 |
$27K |
| B9998 |
Noc for enteral supplies |
413 |
381 |
$19K |
| 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 |
107 |
96 |
$10K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
582 |
280 |
$8K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
99 |
89 |
$6K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
198 |
106 |
$6K |
| 99601 |
|
33 |
12 |
$3K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
22 |
12 |
$2K |
| A4245 |
Alcohol wipes, per box |
42 |
26 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
265 |
207 |
$327.98 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
97 |
37 |
$120.86 |