| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
13,704 |
3,370 |
$2.09M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
17,067 |
4,629 |
$2.01M |
| 99601 |
|
17,675 |
7,023 |
$1.39M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,864 |
4,993 |
$647K |
| 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 |
9,162 |
1,636 |
$534K |
| 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 |
1,233 |
151 |
$451K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
2,782 |
1,034 |
$328K |
| 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 |
1,500 |
460 |
$324K |
| 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 |
9,735 |
1,270 |
$324K |
| 99602 |
Nursing care in home rn |
2,829 |
1,890 |
$285K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
1,776 |
871 |
$282K |
| 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 |
3,510 |
2,107 |
$268K |
| 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 |
1,388 |
297 |
$243K |
| S9494 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
1,828 |
775 |
$215K |
| B9999 |
Noc for parenteral supplies |
6,669 |
1,305 |
$208K |
| 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 |
1,880 |
1,650 |
$203K |
| 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 |
1,235 |
429 |
$198K |
| B9998 |
Noc for enteral supplies |
2,864 |
2,506 |
$177K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,130 |
2,155 |
$171K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
531 |
148 |
$156K |
| 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 |
866 |
746 |
$108K |
| 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 |
1,031 |
557 |
$85K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
571 |
564 |
$71K |
| S1015 |
Iv tubing extension set |
2,173 |
575 |
$50K |
| 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 |
292 |
266 |
$44K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,014 |
1,005 |
$35K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
379 |
153 |
$35K |
| 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 |
108 |
92 |
$32K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
62 |
33 |
$7K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
250 |
127 |
$4K |
| S9359 |
Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
59 |
57 |
$4K |
| 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 |
18 |
12 |
$2K |
| 0004A |
|
43 |
43 |
$2K |
| 0064A |
|
19 |
19 |
$760.00 |
| E0776 |
Iv pole |
191 |
191 |
$511.76 |
| A4245 |
Alcohol wipes, per box |
39 |
35 |
$47.77 |