| 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 |
53,925 |
47,548 |
$12.92M |
| B9002 |
Enteral nutrition infusion pump, any type |
72,902 |
62,339 |
$5.41M |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
43,136 |
38,857 |
$4.27M |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
13,475 |
11,986 |
$2.06M |
| B4224 |
Parenteral nutrition administration kit, per day |
6,302 |
2,868 |
$1.46M |
| B9998 |
Noc for enteral supplies |
63,841 |
56,038 |
$1.21M |
| B9004 |
Parenteral nutrition infusion pump, portable |
3,014 |
2,887 |
$849K |
| 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 |
3,625 |
1,944 |
$651K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
6,312 |
2,866 |
$468K |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
13,552 |
12,663 |
$255K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
2,847 |
871 |
$240K |
| A5200 |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
7,823 |
6,621 |
$235K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
1,104 |
1,080 |
$185K |
| E0776 |
Iv pole |
2,426 |
2,311 |
$177K |
| 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 |
278 |
249 |
$176K |
| 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 |
395 |
362 |
$122K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
475 |
139 |
$96K |
| S5498 |
Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem |
1,464 |
804 |
$77K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
3,902 |
3,664 |
$63K |
| A4452 |
Tape, waterproof, per 18 square inches |
7,107 |
6,404 |
$49K |
| S9502 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
262 |
76 |
$45K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,845 |
3,526 |
$31K |
| E1399 |
Durable medical equipment, miscellaneous |
129 |
101 |
$25K |
| A4400 |
Ostomy irrigation set |
758 |
713 |
$25K |
| A4398 |
Ostomy irrigation supply; bag, each |
1,047 |
975 |
$25K |
| S9373 |
Home infusion therapy, hydration 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 with hydration therapy codes s9374-s9377 using daily volume scales) |
51 |
40 |
$7K |
| A4927 |
Gloves, non-sterile, per 100 |
638 |
617 |
$7K |
| B4082 |
Nasogastric tubing without stylet |
86 |
79 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
926 |
887 |
$2K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
72 |
67 |
$534.48 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
116 |
114 |
$458.20 |