| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
4,476 |
1,189 |
$404K |
| 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 |
2,445 |
807 |
$356K |
| S9366 |
Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
554 |
127 |
$346K |
| 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 |
1,486 |
1,348 |
$250K |
| 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 |
657 |
622 |
$213K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,587 |
1,439 |
$212K |
| 99601 |
|
1,573 |
525 |
$140K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
1,022 |
514 |
$111K |
| S9374 |
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
503 |
140 |
$85K |
| 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 |
578 |
531 |
$68K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
443 |
396 |
$40K |
| B9002 |
Enteral nutrition infusion pump, any type |
556 |
546 |
$32K |
| 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 |
43 |
39 |
$28K |
| 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 |
239 |
100 |
$25K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
476 |
274 |
$20K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
302 |
295 |
$19K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
793 |
350 |
$15K |
| 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 |
130 |
117 |
$15K |
| 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 |
58 |
13 |
$10K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
181 |
50 |
$7K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
30 |
12 |
$5K |
| B9998 |
Noc for enteral supplies |
124 |
115 |
$4K |
| 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 |
17 |
13 |
$4K |
| 99602 |
Nursing care in home rn |
43 |
27 |
$3K |
| E0776 |
Iv pole |
13 |
13 |
$909.69 |
| A4927 |
Gloves, non-sterile, per 100 |
729 |
665 |
$680.83 |
| A4245 |
Alcohol wipes, per box |
955 |
463 |
$654.04 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
297 |
109 |
$393.36 |