| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
9,304 |
3,962 |
$2.66M |
| B4197 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix |
1,782 |
500 |
$1.74M |
| 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 |
9,447 |
4,396 |
$1.58M |
| 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 |
3,414 |
1,542 |
$1.22M |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
6,016 |
1,538 |
$894K |
| 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 |
2,183 |
984 |
$724K |
| 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 |
4,325 |
1,411 |
$559K |
| 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 |
3,820 |
1,636 |
$456K |
| 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 |
5,529 |
3,814 |
$387K |
| 99601 |
|
3,740 |
1,705 |
$262K |
| 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 |
4,336 |
1,000 |
$237K |
| 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 |
833 |
243 |
$211K |
| 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 |
2,716 |
1,828 |
$152K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,204 |
2,386 |
$111K |
| S9504 |
Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
115 |
52 |
$51K |
| B4199 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix |
42 |
12 |
$47K |
| 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 |
419 |
228 |
$39K |
| S9375 |
Home infusion therapy, hydration therapy; 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 (drugs and nursing visits coded separately), per diem |
219 |
65 |
$37K |
| 99602 |
Nursing care in home rn |
593 |
394 |
$34K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,754 |
998 |
$32K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,682 |
1,519 |
$29K |
| S9359 |
Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
338 |
315 |
$26K |
| 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 |
60 |
25 |
$22K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,002 |
974 |
$20K |
| B4155 |
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit |
1,136 |
722 |
$17K |
| B4224 |
Parenteral nutrition administration kit, per day |
653 |
180 |
$15K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
97 |
25 |
$12K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
451 |
229 |
$10K |
| 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 |
139 |
88 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
472 |
108 |
$7K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
600 |
168 |
$5K |
| S5502 |
Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) |
339 |
334 |
$5K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
420 |
231 |
$2K |
| B9004 |
Parenteral nutrition infusion pump, portable |
18 |
14 |
$2K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
12 |
12 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
278 |
132 |
$930.36 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
40 |
12 |
$905.65 |
| J9190 |
Injection, fluorouracil, 500 mg |
108 |
36 |
$764.30 |
| E0776 |
Iv pole |
209 |
192 |
$483.16 |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
93 |
84 |
$313.50 |
| S5517 |
Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting |
14 |
12 |
$184.14 |