| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
15,389 |
5,515 |
$7.63M |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
6,248 |
3,303 |
$217K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
517 |
452 |
$104K |
| E0791 |
Parenteral infusion pump, stationary, single or multi-channel |
280 |
277 |
$75K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,486 |
1,537 |
$50K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
229 |
52 |
$32K |
| B4224 |
Parenteral nutrition administration kit, per day |
211 |
52 |
$32K |
| 99601 |
|
504 |
220 |
$31K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
117 |
107 |
$21K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
64 |
62 |
$16K |
| E0776 |
Iv pole |
1,053 |
1,015 |
$14K |
| E0779 |
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater |
662 |
647 |
$11K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
214 |
52 |
$10K |
| B9002 |
Enteral nutrition infusion pump, any type |
88 |
82 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
23 |
23 |
$6K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
495 |
201 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
631 |
194 |
$5K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
17 |
17 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
320 |
86 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
274 |
133 |
$3K |
| 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 |
15 |
12 |
$3K |
| 97803 |
|
151 |
56 |
$2K |
| 99602 |
Nursing care in home rn |
38 |
24 |
$2K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
17 |
13 |
$1K |
| J3490 |
Unclassified drugs |
57 |
24 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
253 |
79 |
$1K |