| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q5121 |
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
593 |
569 |
$1.37M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
414 |
394 |
$1.35M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,759 |
3,886 |
$945K |
| 99601 |
|
9,348 |
4,735 |
$886K |
| 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 |
1,741 |
1,397 |
$852K |
| 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 |
2,804 |
967 |
$825K |
| 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 |
2,946 |
2,278 |
$786K |
| 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 |
1,585 |
1,187 |
$266K |
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
62 |
50 |
$229K |
| 99602 |
Nursing care in home rn |
2,584 |
1,914 |
$227K |
| 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 |
568 |
194 |
$180K |
| 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 |
2,760 |
1,607 |
$151K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
1,411 |
189 |
$140K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
6,312 |
1,603 |
$137K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
6,671 |
2,272 |
$134K |
| 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 |
1,602 |
926 |
$133K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
907 |
228 |
$133K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
1,165 |
362 |
$120K |
| 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) |
324 |
98 |
$102K |
| 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 |
1,409 |
1,314 |
$90K |
| 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 |
2,008 |
1,166 |
$84K |
| B4224 |
Parenteral nutrition administration kit, per day |
1,732 |
229 |
$70K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,188 |
871 |
$60K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
727 |
184 |
$56K |
| 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 |
469 |
241 |
$42K |
| 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 |
42 |
13 |
$40K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
229 |
214 |
$23K |
| 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 |
65 |
24 |
$22K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
343 |
77 |
$20K |
| 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 |
87 |
66 |
$18K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
172 |
45 |
$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 |
34 |
24 |
$10K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
212 |
166 |
$6K |