| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
3,012 |
1,114 |
$251K |
| 99602 |
Nursing care in home rn |
1,052 |
562 |
$144K |
| 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 |
619 |
280 |
$136K |
| 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 |
785 |
323 |
$57K |
| 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 |
273 |
244 |
$56K |
| 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 |
728 |
476 |
$55K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
119 |
61 |
$6K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
225 |
79 |
$4K |
| 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 |
19 |
12 |
$3K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
58 |
26 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
1,101 |
556 |
$3K |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
444 |
183 |
$2K |
| T1001 |
Nursing assessment / evaluation |
49 |
12 |
$2K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
134 |
46 |
$2K |
| 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 |
16 |
13 |
$1K |
| A4245 |
Alcohol wipes, per box |
824 |
449 |
$991.29 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
443 |
209 |
$565.50 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
26 |
13 |
$409.17 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
210 |
95 |
$307.00 |
| A4649 |
Surgical supply; miscellaneous |
75 |
50 |
$180.32 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
16 |
14 |
$163.56 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
68 |
32 |
$127.35 |
| A5120 |
Skin barrier, wipes or swabs, each |
80 |
37 |
$56.19 |
| A4657 |
Syringe, with or without needle, each |
203 |
74 |
$44.63 |