| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
4,266 |
1,236 |
$299K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
255 |
104 |
$25K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
716 |
316 |
$14K |
| 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 |
268 |
25 |
$11K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
102 |
36 |
$9K |
| 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 |
576 |
25 |
$5K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
13 |
12 |
$2K |
| B9002 |
Enteral nutrition infusion pump, any type |
29 |
24 |
$1K |