| 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 |
43,886 |
3,468 |
$2.78M |
| 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 |
13,993 |
1,606 |
$1.82M |
| 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 |
22,972 |
8,054 |
$1.28M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
34,269 |
7,016 |
$1.26M |
| 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 |
4,344 |
1,714 |
$1.19M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
27,690 |
6,075 |
$1.17M |
| 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 |
5,488 |
1,446 |
$1.13M |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
4,895 |
1,179 |
$797K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
189 |
149 |
$750K |
| 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 |
9,766 |
900 |
$719K |
| 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 |
8,240 |
2,945 |
$656K |
| 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 |
4,000 |
427 |
$569K |
| 99601 |
|
5,056 |
2,234 |
$527K |
| 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 |
3,022 |
381 |
$464K |
| 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 |
9,126 |
3,009 |
$427K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
161 |
147 |
$357K |
| 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 |
4,098 |
1,654 |
$353K |
| 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 |
2,344 |
321 |
$339K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
4,879 |
1,384 |
$296K |
| 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 |
2,302 |
597 |
$296K |
| J0878 |
Injection, daptomycin, 1 mg |
400 |
133 |
$267K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
3,811 |
1,617 |
$262K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
12,530 |
3,521 |
$228K |
| 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 |
1,020 |
56 |
$195K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,122 |
949 |
$147K |
| B4224 |
Parenteral nutrition administration kit, per day |
8,126 |
636 |
$129K |
| 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 |
3,898 |
174 |
$115K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,202 |
292 |
$107K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
6,246 |
2,958 |
$103K |
| 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 |
1,097 |
172 |
$98K |
| 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 |
4,110 |
1,257 |
$88K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,422 |
656 |
$75K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
4,834 |
598 |
$41K |
| 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 |
551 |
478 |
$39K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
2,796 |
200 |
$36K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
488 |
175 |
$21K |
| 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 |
187 |
140 |
$20K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
30 |
12 |
$19K |
| 99602 |
Nursing care in home rn |
171 |
130 |
$13K |
| J3490 |
Unclassified drugs |
112 |
13 |
$11K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
593 |
251 |
$11K |
| S5501 |
Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
240 |
38 |
$10K |
| E0776 |
Iv pole |
153 |
144 |
$8K |
| B9998 |
Noc for enteral supplies |
76 |
62 |
$7K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
18 |
16 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
47 |
12 |
$3K |
| B4102 |
Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
71 |
43 |
$2K |
| B9002 |
Enteral nutrition infusion pump, any type |
59 |
52 |
$2K |
| A4306 |
Disposable drug delivery system, flow rate of less than 50 ml per hour |
83 |
12 |
$1K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
139 |
51 |
$956.35 |
| S5517 |
Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting |
16 |
14 |
$555.00 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
236 |
108 |
$393.80 |
| A4452 |
Tape, waterproof, per 18 square inches |
52 |
44 |
$283.84 |
| Y9167 |
|
30 |
27 |
$108.00 |