| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
68,574 |
15,897 |
$7.63M |
| 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 |
37,109 |
10,715 |
$7.15M |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
43,717 |
14,053 |
$3.52M |
| S9501 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
11,399 |
3,377 |
$2.34M |
| B9999 |
Noc for parenteral supplies |
20,122 |
8,219 |
$2.03M |
| 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 |
11,379 |
2,874 |
$2.00M |
| 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 |
3,552 |
632 |
$1.63M |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
18,846 |
5,602 |
$1.00M |
| 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 |
5,333 |
2,396 |
$930K |
| J3490 |
Unclassified drugs |
12,547 |
6,375 |
$854K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
11,323 |
5,833 |
$746K |
| 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 |
6,328 |
4,013 |
$689K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
8,232 |
2,160 |
$688K |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
4,054 |
3,000 |
$613K |
| 99602 |
Nursing care in home rn |
4,626 |
2,899 |
$571K |
| 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 |
3,896 |
1,145 |
$516K |
| E0776 |
Iv pole |
9,263 |
6,049 |
$480K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,396 |
717 |
$329K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
139 |
131 |
$311K |
| 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 |
3,637 |
931 |
$287K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
678 |
421 |
$272K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
659 |
328 |
$233K |
| A4245 |
Alcohol wipes, per box |
18,424 |
11,047 |
$222K |
| J0135 |
Injection, adalimumab, 20 mg |
142 |
106 |
$217K |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,908 |
2,635 |
$198K |
| J9355 |
Injection, trastuzumab, excludes biosimilar, 10 mg |
52 |
38 |
$197K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
5,570 |
2,725 |
$178K |
| S9503 |
Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,346 |
223 |
$170K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
844 |
275 |
$158K |
| J1442 |
Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram |
126 |
102 |
$144K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,384 |
1,213 |
$105K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
702 |
580 |
$74K |
| 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 |
861 |
508 |
$70K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,378 |
1,607 |
$68K |
| 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 |
1,885 |
218 |
$58K |
| A4927 |
Gloves, non-sterile, per 100 |
14,561 |
8,523 |
$58K |
| B9002 |
Enteral nutrition infusion pump, any type |
296 |
267 |
$44K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
27 |
24 |
$43K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,982 |
1,613 |
$39K |
| S1015 |
Iv tubing extension set |
13,994 |
8,156 |
$35K |
| T1001 |
Nursing assessment / evaluation |
1,169 |
308 |
$33K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,836 |
1,490 |
$28K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
456 |
107 |
$28K |
| 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 |
182 |
161 |
$24K |
| S3601 |
Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility |
270 |
129 |
$23K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
939 |
429 |
$23K |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
4,269 |
2,174 |
$19K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
291 |
141 |
$19K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
960 |
771 |
$19K |
| S5501 |
Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
653 |
83 |
$17K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
2,213 |
1,384 |
$15K |
| J3590 |
Unclassified biologics |
15 |
13 |
$10K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
27 |
26 |
$8K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
12 |
12 |
$8K |
| S0028 |
Injection, famotidine, 20 mg |
563 |
467 |
$7K |
| A4657 |
Syringe, with or without needle, each |
617 |
487 |
$7K |
| 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 |
25 |
24 |
$6K |
| B9998 |
Noc for enteral supplies |
218 |
173 |
$6K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
25 |
12 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
63 |
54 |
$5K |
| 90750 |
|
43 |
35 |
$4K |
| J3489 |
Injection, zoledronic acid, 1 mg |
55 |
52 |
$3K |
| 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 |
15 |
13 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
267 |
265 |
$3K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
16 |
12 |
$3K |
| T5999 |
Supply, not otherwise specified |
186 |
65 |
$3K |
| J9045 |
Injection, carboplatin, 50 mg |
78 |
41 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
119 |
87 |
$2K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
349 |
279 |
$1K |
| A4212 |
Non-coring needle or stylet with or without catheter |
127 |
77 |
$1K |
| A4602 |
Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each |
273 |
169 |
$1K |
| A6447 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard |
218 |
129 |
$542.38 |
| A4217 |
Sterile water/saline, 500 ml |
30 |
13 |
$333.68 |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
179 |
127 |
$299.51 |
| A4215 |
Needle, sterile, any size, each |
227 |
148 |
$218.99 |
| A4247 |
Betadine or iodine swabs/wipes, per box |
209 |
173 |
$85.03 |