| 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 |
16,888 |
15,523 |
$7.87M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
722 |
474 |
$3.18M |
| 99601 |
|
37,718 |
14,994 |
$3.05M |
| 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 |
10,505 |
4,046 |
$2.88M |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
289 |
211 |
$1.76M |
| 99602 |
Nursing care in home rn |
13,603 |
7,743 |
$1.32M |
| 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 |
3,595 |
1,441 |
$1.13M |
| 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 |
3,765 |
1,365 |
$966K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
1,540 |
825 |
$828K |
| 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 |
1,304 |
1,170 |
$771K |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,398 |
1,270 |
$767K |
| 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 |
2,269 |
2,155 |
$679K |
| 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 |
5,610 |
5,065 |
$600K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,818 |
5,445 |
$460K |
| 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 |
4,013 |
3,704 |
$424K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
3,655 |
1,054 |
$410K |
| 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 |
1,586 |
1,461 |
$350K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,506 |
1,032 |
$331K |
| 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 |
1,666 |
696 |
$324K |
| J0878 |
Injection, daptomycin, 1 mg |
429 |
161 |
$305K |
| 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 |
5,669 |
3,138 |
$305K |
| 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 |
1,381 |
1,247 |
$293K |
| S9348 |
Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
989 |
233 |
$291K |
| 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 |
433 |
133 |
$288K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
2,278 |
2,234 |
$262K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
9,282 |
4,800 |
$195K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
15,763 |
7,786 |
$193K |
| B5000 |
Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premix |
380 |
107 |
$168K |
| 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 |
633 |
582 |
$167K |
| J1559 |
Injection, immune globulin (hizentra), 100 mg |
70 |
24 |
$147K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,499 |
581 |
$138K |
| 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 |
1,020 |
473 |
$120K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,655 |
2,450 |
$87K |
| S9367 |
Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three 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 |
77 |
24 |
$61K |
| J2260 |
Injection, milrinone lactate, 5 mg |
808 |
211 |
$61K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
564 |
227 |
$61K |
| S9341 |
Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
158 |
125 |
$43K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,481 |
1,478 |
$38K |
| J7050 |
Infusion, normal saline solution, 250 cc |
7,287 |
3,719 |
$34K |
| 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 |
887 |
816 |
$34K |
| J3490 |
Unclassified drugs |
874 |
412 |
$27K |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
130 |
55 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,950 |
934 |
$17K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
114 |
44 |
$8K |
| J2185 |
Injection, meropenem, 100 mg |
22 |
12 |
$6K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
100 |
94 |
$5K |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
33 |
13 |
$4K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
286 |
164 |
$3K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
323 |
311 |
$3K |
| S5498 |
Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem |
13 |
12 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
581 |
489 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
22 |
14 |
$2K |
| B4082 |
Nasogastric tubing without stylet |
12 |
12 |
$516.54 |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
34 |
32 |
$387.49 |
| E0776 |
Iv pole |
13 |
13 |
$217.73 |
| 99080 |
|
194 |
76 |
$0.00 |