| 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 |
32,626 |
19,540 |
$4.97M |
| 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 |
11,681 |
9,456 |
$4.62M |
| 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 |
18,492 |
14,638 |
$1.88M |
| 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 |
6,950 |
5,249 |
$1.85M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
20,396 |
14,757 |
$1.25M |
| S9494 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
5,310 |
1,396 |
$1.13M |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13,586 |
8,506 |
$1.02M |
| E0601 |
Continuous positive airway pressure (cpap) device |
22,988 |
16,408 |
$956K |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
2,158 |
1,623 |
$883K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
5,500 |
1,183 |
$846K |
| 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 |
6,894 |
5,850 |
$770K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
4,386 |
1,393 |
$737K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
6,111 |
5,623 |
$702K |
| B4224 |
Parenteral nutrition administration kit, per day |
6,157 |
1,281 |
$644K |
| 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 |
6,146 |
4,226 |
$629K |
| B9002 |
Enteral nutrition infusion pump, any type |
686 |
634 |
$549K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
4,643 |
2,731 |
$540K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,709 |
5,322 |
$472K |
| B4189 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix |
602 |
131 |
$471K |
| B9998 |
Noc for enteral supplies |
25,662 |
18,971 |
$403K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14,973 |
9,499 |
$325K |
| 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 |
2,777 |
2,161 |
$295K |
| B4100 |
Food thickener, administered orally, per ounce |
2,687 |
2,340 |
$288K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,709 |
1,878 |
$286K |
| B4103 |
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
3,562 |
2,800 |
$271K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
7,362 |
5,036 |
$271K |
| E0570 |
Nebulizer, with compressor |
4,745 |
3,377 |
$262K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
3,154 |
2,105 |
$230K |
| 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 |
1,034 |
706 |
$216K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
6,145 |
1,280 |
$206K |
| A7035 |
Headgear used with positive airway pressure device |
10,948 |
7,724 |
$146K |
| 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 |
1,760 |
1,358 |
$142K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,603 |
4,498 |
$133K |
| A7037 |
Tubing used with positive airway pressure device |
6,820 |
5,078 |
$132K |
| E1392 |
Portable oxygen concentrator, rental |
5,769 |
4,205 |
$105K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,627 |
4,131 |
$104K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
2,088 |
1,861 |
$71K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,840 |
5,076 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,234 |
2,179 |
$44K |
| A4670 |
Automatic blood pressure monitor |
1,139 |
585 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15,506 |
10,702 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,597 |
2,682 |
$36K |
| E0776 |
Iv pole |
378 |
354 |
$33K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,899 |
1,968 |
$30K |
| B9004 |
Parenteral nutrition infusion pump, portable |
287 |
79 |
$24K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,224 |
2,737 |
$10K |
| A7036 |
Chinstrap used with positive airway pressure device |
780 |
550 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
18 |
13 |
$69.77 |