| 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 |
4,698 |
4,317 |
$549K |
| S9340 |
Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
748 |
704 |
$296K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,474 |
1,446 |
$182K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,786 |
1,733 |
$156K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,788 |
1,643 |
$132K |
| B9998 |
Noc for enteral supplies |
1,881 |
1,709 |
$111K |
| 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 |
958 |
873 |
$36K |
| 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 |
507 |
472 |
$24K |
| 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 |
134 |
42 |
$16K |
| B4154 |
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
115 |
102 |
$12K |
| 99601 |
|
95 |
40 |
$8K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
186 |
47 |
$3K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
102 |
93 |
$2K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
81 |
26 |
$60.28 |
| A4927 |
Gloves, non-sterile, per 100 |
14 |
14 |
$0.99 |