| 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 |
11,329 |
2,354 |
$1.02M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
7,888 |
5,904 |
$917K |
| 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 |
36,691 |
2,227 |
$794K |
| 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 |
1,062 |
907 |
$417K |
| 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 |
2,940 |
2,182 |
$362K |
| 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 |
3,566 |
2,723 |
$320K |
| 99601 |
|
4,786 |
1,943 |
$319K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
1,829 |
494 |
$311K |
| 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 |
3,706 |
2,490 |
$282K |
| 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 |
2,819 |
537 |
$241K |
| B4105 |
In-line cartridge containing digestive enzyme(s) for enteral feeding, each |
44 |
42 |
$204K |
| 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 |
1,410 |
341 |
$148K |
| 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 |
268 |
240 |
$146K |
| 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 |
1,465 |
279 |
$130K |
| B4224 |
Parenteral nutrition administration kit, per day |
913 |
231 |
$90K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
730 |
722 |
$69K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,482 |
1,603 |
$64K |
| B4036 |
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
922 |
723 |
$57K |
| 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 |
231 |
155 |
$41K |
| B9002 |
Enteral nutrition infusion pump, any type |
571 |
558 |
$40K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
236 |
80 |
$27K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
711 |
201 |
$26K |
| B4087 |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
594 |
548 |
$23K |
| J0878 |
Injection, daptomycin, 1 mg |
141 |
39 |
$16K |
| 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 |
1,202 |
64 |
$11K |
| 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 |
220 |
192 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
445 |
188 |
$10K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
244 |
61 |
$10K |
| E0776 |
Iv pole |
369 |
365 |
$6K |