| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
16,244 |
4,669 |
$402K |
| 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 |
508 |
310 |
$218K |
| 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 |
843 |
688 |
$191K |
| 99601 |
|
1,751 |
778 |
$184K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
2,373 |
1,676 |
$133K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
854 |
329 |
$89K |
| A5200 |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
2,068 |
1,571 |
$64K |
| A4322 |
Irrigation syringe, bulb or piston, each |
933 |
749 |
$44K |
| 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 |
355 |
234 |
$36K |
| A4927 |
Gloves, non-sterile, per 100 |
5,235 |
3,966 |
$18K |
| A6247 |
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
446 |
384 |
$18K |
| S1015 |
Iv tubing extension set |
3,994 |
3,066 |
$17K |
| 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 |
220 |
141 |
$10K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,397 |
1,783 |
$9K |
| E0776 |
Iv pole |
115 |
108 |
$8K |
| A4245 |
Alcohol wipes, per box |
5,464 |
4,171 |
$8K |
| A6447 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard |
1,435 |
1,035 |
$6K |
| A4657 |
Syringe, with or without needle, each |
942 |
558 |
$5K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
699 |
571 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14 |
13 |
$2K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
968 |
696 |
$974.06 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
89 |
63 |
$261.38 |
| 81015 |
|
21 |
15 |
$44.62 |
| G0154 |
Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes |
116 |
92 |
$0.00 |
| 0551 |
|
173 |
86 |
$0.00 |