| 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 |
9,815 |
5,615 |
$1.16M |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
1,426 |
515 |
$222K |
| B9002 |
Enteral nutrition infusion pump, any type |
3,790 |
2,911 |
$155K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
7,239 |
2,777 |
$123K |
| B9998 |
Noc for enteral supplies |
2,551 |
1,929 |
$110K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,128 |
1,326 |
$88K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,406 |
1,177 |
$32K |
| E0776 |
Iv pole |
226 |
208 |
$22K |
| 99601 |
|
462 |
248 |
$9K |
| 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 |
165 |
124 |
$6K |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
2,339 |
754 |
$5K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
48 |
39 |
$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 |
194 |
153 |
$4K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
3,265 |
1,264 |
$108.00 |