| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
62,567 |
5,965 |
$2.27M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,486 |
1,475 |
$700K |
| 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 |
1,089 |
995 |
$658K |
| 99602 |
Nursing care in home rn |
4,377 |
1,991 |
$549K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
709 |
590 |
$436K |
| 99601 |
|
5,190 |
2,363 |
$425K |
| 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 |
4,823 |
2,755 |
$399K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,569 |
1,551 |
$196K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
910 |
899 |
$125K |
| 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 |
1,409 |
879 |
$105K |
| 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 |
587 |
542 |
$102K |
| 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 |
374 |
128 |
$76K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
410 |
360 |
$76K |
| 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 |
1,291 |
242 |
$64K |
| J1559 |
Injection, immune globulin (hizentra), 100 mg |
185 |
37 |
$63K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
345 |
336 |
$48K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
596 |
593 |
$47K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,163 |
1,161 |
$25K |
| 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 |
96 |
25 |
$19K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
138 |
137 |
$12K |
| A7526 |
Tracheostomy tube collar/holder, each |
420 |
371 |
$12K |
| 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 |
65 |
53 |
$11K |
| A4927 |
Gloves, non-sterile, per 100 |
673 |
641 |
$11K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
167 |
136 |
$11K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
504 |
500 |
$10K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
918 |
887 |
$10K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
565 |
552 |
$6K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
201 |
183 |
$6K |
| A4605 |
Tracheal suction catheter, closed system, each |
103 |
97 |
$6K |
| 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 |
12 |
12 |
$5K |
| A7000 |
Canister, disposable, used with suction pump, each |
597 |
548 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
699 |
681 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
705 |
659 |
$2K |
| A7525 |
Tracheostomy mask, each |
126 |
119 |
$242.50 |