| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
30,166 |
29,328 |
$3.73M |
| B9998 |
Noc for enteral supplies |
55,021 |
37,369 |
$2.98M |
| 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 |
3,964 |
3,870 |
$2.65M |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
16,902 |
16,713 |
$2.29M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
16,576 |
4,228 |
$605K |
| T5999 |
Supply, not otherwise specified |
2,665 |
2,480 |
$377K |
| A4322 |
Irrigation syringe, bulb or piston, each |
29,218 |
28,617 |
$352K |
| B9002 |
Enteral nutrition infusion pump, any type |
3,928 |
3,922 |
$333K |
| B9999 |
Noc for parenteral supplies |
10,887 |
3,336 |
$275K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
32,962 |
30,752 |
$142K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,247 |
3,058 |
$134K |
| 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 |
1,946 |
1,732 |
$132K |
| 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 |
678 |
621 |
$125K |
| A4657 |
Syringe, with or without needle, each |
33,419 |
24,426 |
$120K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
2,810 |
773 |
$114K |
| T4529 |
Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
808 |
786 |
$85K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,306 |
1,279 |
$72K |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
12,817 |
3,652 |
$61K |
| A4215 |
Needle, sterile, any size, each |
1,379 |
1,225 |
$44K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
852 |
829 |
$43K |
| A4930 |
Gloves, sterile, per pair |
6,532 |
3,312 |
$43K |
| A4212 |
Non-coring needle or stylet with or without catheter |
1,630 |
1,078 |
$37K |
| 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 |
161 |
153 |
$24K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
220 |
215 |
$22K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
186 |
183 |
$17K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
4,354 |
2,532 |
$16K |
| E0776 |
Iv pole |
272 |
272 |
$13K |
| S1015 |
Iv tubing extension set |
1,530 |
883 |
$13K |
| A4245 |
Alcohol wipes, per box |
3,233 |
3,147 |
$6K |
| 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 |
688 |
578 |
$4K |
| B4082 |
Nasogastric tubing without stylet |
304 |
300 |
$4K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,031 |
913 |
$4K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
860 |
696 |
$3K |
| A4335 |
Incontinence supply; miscellaneous |
701 |
682 |
$2K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
376 |
127 |
$635.67 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
41 |
38 |
$230.28 |
| 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 |
175 |
161 |
$0.00 |
| 0250 |
|
35 |
21 |
$0.00 |