| 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 |
12,882 |
10,696 |
$2.87M |
| B9998 |
Noc for enteral supplies |
4,999 |
4,451 |
$629K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,191 |
812 |
$189K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,145 |
1,001 |
$180K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,535 |
1,270 |
$118K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
5,943 |
2,547 |
$105K |
| B4224 |
Parenteral nutrition administration kit, per day |
945 |
235 |
$90K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
1,205 |
446 |
$88K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
2,411 |
2,162 |
$60K |
| 99601 |
|
928 |
261 |
$47K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
932 |
232 |
$30K |
| E0776 |
Iv pole |
218 |
197 |
$20K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
42 |
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 |
184 |
122 |
$5K |
| E0570 |
Nebulizer, with compressor |
18 |
15 |
$532.60 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$359.73 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
17 |
15 |
$237.42 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
69 |
69 |
$232.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$135.41 |