| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
5,652 |
2,280 |
$521K |
| 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 |
2,845 |
584 |
$396K |
| 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 |
865 |
766 |
$323K |
| 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 |
2,192 |
1,877 |
$305K |
| 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 |
1,559 |
1,331 |
$224K |
| 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) |
617 |
248 |
$207K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,042 |
1,773 |
$194K |
| 99602 |
Nursing care in home rn |
1,391 |
859 |
$138K |
| 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 |
509 |
78 |
$74K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
377 |
130 |
$59K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,071 |
940 |
$58K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
998 |
348 |
$13K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
230 |
108 |
$13K |
| 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 |
28 |
25 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
13 |
$9K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
28 |
26 |
$9K |
| B9002 |
Enteral nutrition infusion pump, any type |
235 |
225 |
$9K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
359 |
176 |
$8K |
| S9338 |
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
16 |
13 |
$1K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
12 |
12 |
$621.35 |
| A4927 |
Gloves, non-sterile, per 100 |
12 |
12 |
$0.60 |