| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B9998 |
Noc for enteral supplies |
631 |
474 |
$26K |
| 99601 |
|
3,479 |
1,140 |
$17K |
| 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 |
108 |
102 |
$12K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
113 |
107 |
$8K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
27 |
26 |
$3K |
| 99602 |
Nursing care in home rn |
18 |
13 |
$693.00 |
| 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) |
1,091 |
399 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
37 |
18 |
$0.00 |
| S9494 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
2,523 |
1,033 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
38 |
18 |
$0.00 |