| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4189 |
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix |
7,999 |
1,049 |
$3.55M |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
6,430 |
1,280 |
$2.49M |
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
564 |
510 |
$2.28M |
| B4224 |
Parenteral nutrition administration kit, per day |
20,306 |
1,338 |
$703K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
22,378 |
1,930 |
$344K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
5,806 |
1,357 |
$259K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
19,924 |
1,336 |
$228K |
| 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 |
671 |
560 |
$75K |
| 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 |
388 |
251 |
$74K |
| 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 |
429 |
231 |
$44K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
4,222 |
444 |
$33K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
2,580 |
1,064 |
$18K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
736 |
162 |
$12K |
| 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 |
212 |
52 |
$8K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
17 |
12 |
$5K |
| 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 |
18 |
14 |
$3K |
| 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 |
75 |
12 |
$3K |
| 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 |
17 |
13 |
$2K |
| B9998 |
Noc for enteral supplies |
15 |
15 |
$728.82 |
| A4245 |
Alcohol wipes, per box |
162 |
96 |
$339.81 |
| A5200 |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
23 |
12 |
$202.21 |