| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
2,477 |
665 |
$256K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,762 |
1,036 |
$158K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
6,310 |
2,581 |
$98K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
567 |
317 |
$21K |
| B9998 |
Noc for enteral supplies |
345 |
175 |
$8K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
195 |
162 |
$8K |
| B9002 |
Enteral nutrition infusion pump, any type |
28 |
12 |
$843.60 |
| 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 |
41 |
27 |
$293.00 |
| E0776 |
Iv pole |
24 |
12 |
$107.58 |