| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
1,079 |
603 |
$3.79M |
| 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) |
3,013 |
863 |
$670K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,995 |
2,632 |
$550K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
2,921 |
937 |
$467K |
| 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 |
10,321 |
579 |
$223K |
| 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 |
2,081 |
930 |
$128K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,646 |
695 |
$66K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
320 |
24 |
$29K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
802 |
36 |
$13K |
| B4224 |
Parenteral nutrition administration kit, per day |
307 |
24 |
$11K |
| 99601 |
|
57 |
24 |
$7K |
| 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 |
746 |
26 |
$4K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
318 |
24 |
$3K |
| B9002 |
Enteral nutrition infusion pump, any type |
75 |
44 |
$2K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
18 |
12 |
$1K |
| S9379 |
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
62 |
12 |
$0.00 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
36 |
15 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
52 |
14 |
$0.00 |