| 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 |
11,347 |
8,758 |
$8.94M |
| 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 |
4,481 |
3,801 |
$2.54M |
| 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 |
2,097 |
1,628 |
$1.61M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,762 |
9,537 |
$844K |
| 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 |
2,379 |
2,036 |
$433K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,537 |
2,489 |
$372K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,999 |
1,997 |
$166K |
| 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 |
361 |
138 |
$163K |
| 99601 |
|
1,102 |
562 |
$131K |
| 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 |
485 |
273 |
$97K |
| E0570 |
Nebulizer, with compressor |
1,420 |
1,419 |
$66K |
| 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 |
374 |
313 |
$62K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
864 |
844 |
$58K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,455 |
1,452 |
$51K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,703 |
1,697 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
3,257 |
3,255 |
$39K |
| 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 |
1,238 |
938 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,534 |
2,485 |
$32K |
| 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 |
301 |
176 |
$30K |
| G0238 |
Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) |
286 |
286 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
2,602 |
2,593 |
$23K |
| 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 |
64 |
53 |
$19K |
| 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 |
117 |
101 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
584 |
584 |
$16K |
| 99602 |
Nursing care in home rn |
127 |
91 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,071 |
5,048 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
419 |
417 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,119 |
1,118 |
$3K |
| S5502 |
Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) |
38 |
12 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
568 |
567 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
318 |
312 |
$703.44 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
256 |
256 |
$413.11 |
| A7000 |
Canister, disposable, used with suction pump, each |
34 |
32 |
$275.44 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
30 |
27 |
$123.32 |
| A7002 |
Tubing, used with suction pump, each |
41 |
37 |
$111.97 |