| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
20,314 |
4,592 |
$2.22M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
69,598 |
10,650 |
$1.90M |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
36,228 |
6,767 |
$1.75M |
| 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 |
36,737 |
6,677 |
$1.29M |
| 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 |
68,722 |
3,281 |
$1.11M |
| B4153 |
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
8,326 |
1,343 |
$911K |
| 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 |
16,927 |
4,423 |
$593K |
| 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 |
2,007 |
172 |
$503K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
5,254 |
646 |
$455K |
| B4224 |
Parenteral nutrition administration kit, per day |
13,270 |
887 |
$408K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14,526 |
3,896 |
$356K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
29,897 |
8,709 |
$346K |
| B4149 |
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
7,340 |
1,047 |
$340K |
| 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 |
3,224 |
897 |
$234K |
| 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 |
6,065 |
1,736 |
$207K |
| S9340 |
Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
14,608 |
917 |
$173K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
12,138 |
845 |
$162K |
| 99601 |
|
5,684 |
2,261 |
$157K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
3,666 |
2,504 |
$130K |
| 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 |
4,570 |
1,801 |
$114K |
| 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 |
1,052 |
409 |
$79K |
| B9002 |
Enteral nutrition infusion pump, any type |
1,040 |
816 |
$58K |
| B9998 |
Noc for enteral supplies |
1,249 |
869 |
$47K |
| B4158 |
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit |
1,496 |
236 |
$34K |
| 99602 |
Nursing care in home rn |
1,072 |
510 |
$25K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
402 |
239 |
$23K |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
127 |
12 |
$20K |
| B4103 |
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit |
722 |
187 |
$16K |
| J1250 |
Injection, dobutamine hydrochloride, per 250 mg |
3,906 |
52 |
$7K |
| 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 |
418 |
61 |
$7K |
| 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 |
32 |
13 |
$6K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,497 |
27 |
$6K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
62 |
30 |
$3K |
| B9004 |
Parenteral nutrition infusion pump, portable |
23 |
13 |
$3K |
| 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 |
19 |
12 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
14 |
$925.44 |
| 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) |
84 |
52 |
$540.00 |
| E0776 |
Iv pole |
77 |
41 |
$343.66 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
76 |
43 |
$165.00 |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
88 |
38 |
$0.00 |