| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0068 |
Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
4,108 |
2,344 |
$6.67M |
| 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 |
5,910 |
3,033 |
$1.98M |
| 99601 |
|
11,817 |
3,405 |
$1.11M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
18,403 |
7,612 |
$781K |
| S9374 |
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
2,369 |
1,664 |
$762K |
| G0070 |
Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes |
599 |
206 |
$755K |
| S9366 |
Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
533 |
167 |
$467K |
| S9502 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
871 |
447 |
$348K |
| 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 |
2,012 |
987 |
$313K |
| S9501 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
935 |
472 |
$298K |
| 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 |
777 |
700 |
$280K |
| S9379 |
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
530 |
294 |
$172K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
1,714 |
1,200 |
$151K |
| G0088 |
Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
657 |
627 |
$132K |
| E0776 |
Iv pole |
1,942 |
1,850 |
$119K |
| 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 |
656 |
621 |
$110K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,620 |
1,147 |
$81K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,147 |
1,023 |
$76K |
| 99602 |
Nursing care in home rn |
423 |
223 |
$69K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
807 |
257 |
$56K |
| S1015 |
Iv tubing extension set |
10,990 |
5,791 |
$56K |
| A4212 |
Non-coring needle or stylet with or without catheter |
2,176 |
1,191 |
$52K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
275 |
223 |
$48K |
| S5502 |
Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) |
117 |
104 |
$47K |
| A4322 |
Irrigation syringe, bulb or piston, each |
627 |
514 |
$39K |
| S9338 |
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
193 |
128 |
$19K |
| A4657 |
Syringe, with or without needle, each |
1,964 |
1,153 |
$15K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
554 |
506 |
$14K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
8,383 |
4,743 |
$12K |
| B4224 |
Parenteral nutrition administration kit, per day |
414 |
145 |
$12K |
| B9002 |
Enteral nutrition infusion pump, any type |
516 |
514 |
$12K |
| A6404 |
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
869 |
453 |
$11K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,449 |
1,486 |
$10K |
| 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 |
169 |
147 |
$9K |
| A4245 |
Alcohol wipes, per box |
12,513 |
7,567 |
$8K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
17 |
12 |
$7K |
| B9998 |
Noc for enteral supplies |
121 |
112 |
$7K |
| 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 |
12 |
12 |
$5K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
1,620 |
669 |
$5K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
414 |
145 |
$4K |
| 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 |
105 |
92 |
$4K |
| A4649 |
Surgical supply; miscellaneous |
128 |
86 |
$3K |
| B9004 |
Parenteral nutrition infusion pump, portable |
32 |
31 |
$2K |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
32 |
27 |
$1K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
83 |
63 |
$152.69 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
52 |
28 |
$139.31 |
| A4215 |
Needle, sterile, any size, each |
24 |
13 |
$7.92 |