| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
934 |
259 |
$98K |
| 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 |
730 |
248 |
$21K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,479 |
4,472 |
$20K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
563 |
352 |
$16K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
376 |
271 |
$9K |
| S9351 |
Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem |
52 |
14 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,695 |
2,688 |
$3K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
299 |
187 |
$3K |
| S9373 |
Home infusion therapy, hydration 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 with hydration therapy codes s9374-s9377 using daily volume scales) |
28 |
13 |
$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 |
180 |
153 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
81 |
80 |
$997.09 |
| A7031 |
Face mask interface, replacement for full face mask, each |
97 |
97 |
$559.40 |
| E0570 |
Nebulizer, with compressor |
334 |
334 |
$347.54 |
| E0601 |
Continuous positive airway pressure (cpap) device |
45 |
45 |
$288.84 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
29 |
29 |
$154.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
307 |
305 |
$135.94 |
| B9998 |
Noc for enteral supplies |
80 |
48 |
$60.00 |
| A7037 |
Tubing used with positive airway pressure device |
54 |
54 |
$55.50 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
26 |
26 |
$47.57 |
| E1392 |
Portable oxygen concentrator, rental |
196 |
196 |
$39.40 |
| K0001 |
Standard wheelchair |
14 |
14 |
$23.03 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$18.04 |
| A7035 |
Headgear used with positive airway pressure device |
25 |
25 |
$16.50 |
| E0156 |
Seat attachment, walker |
12 |
12 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
13 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$0.00 |