| 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 |
45,188 |
33,034 |
$7.98M |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
14,051 |
4,083 |
$1.18M |
| B4224 |
Parenteral nutrition administration kit, per day |
8,642 |
2,046 |
$928K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
10,670 |
7,803 |
$888K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
33,900 |
13,938 |
$597K |
| 99601 |
|
10,576 |
4,081 |
$317K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
11,991 |
10,531 |
$302K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
8,389 |
2,020 |
$289K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,135 |
922 |
$166K |
| 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 |
7,935 |
4,500 |
$158K |
| B9002 |
Enteral nutrition infusion pump, any type |
4,522 |
3,101 |
$154K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
1,079 |
829 |
$109K |
| 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 |
5,251 |
2,929 |
$105K |
| J2260 |
Injection, milrinone lactate, 5 mg |
5,690 |
619 |
$56K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
369 |
175 |
$23K |
| B9998 |
Noc for enteral supplies |
162 |
153 |
$22K |
| 99602 |
Nursing care in home rn |
1,282 |
708 |
$17K |
| 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 |
205 |
137 |
$8K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
65 |
14 |
$7K |
| 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 |
65 |
36 |
$4K |
| E0776 |
Iv pole |
193 |
129 |
$2K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
133 |
92 |
$2K |
| 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 |
88 |
49 |
$511.90 |
| G0068 |
Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
47 |
12 |
$359.45 |