| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
16,782 |
12,378 |
$29.48M |
| J3490 |
Unclassified drugs |
9,890 |
1,968 |
$16.40M |
| S9590 |
Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,741 |
1,344 |
$2.82M |
| 90378 |
|
571 |
452 |
$2.40M |
| 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 |
4,181 |
3,028 |
$1.88M |
| 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 |
3,348 |
2,609 |
$1.11M |
| 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 |
5,319 |
4,022 |
$920K |
| S5497 |
Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,727 |
1,044 |
$824K |
| J7170 |
Injection, emicizumab-kxwh, 0.5 mg |
46 |
27 |
$815K |
| 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 |
91 |
72 |
$136K |
| S9345 |
Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
120 |
77 |
$93K |
| J3590 |
Unclassified biologics |
155 |
146 |
$49K |
| B4158 |
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit |
318 |
248 |
$38K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
452 |
388 |
$10K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
779 |
544 |
$5K |
| 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 |
31 |
24 |
$3K |
| J2941 |
Injection, somatropin, 1 mg |
44 |
40 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
269 |
136 |
$587.12 |