| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
2,859 |
2,020 |
$811K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
3,181 |
2,729 |
$147K |
| 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 |
995 |
767 |
$131K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,876 |
2,546 |
$58K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
891 |
788 |
$9K |
| S5501 |
Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
73 |
70 |
$8K |
| A4927 |
Gloves, non-sterile, per 100 |
845 |
780 |
$7K |
| E0776 |
Iv pole |
533 |
483 |
$4K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
15 |
12 |
$422.38 |