| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2326 |
Injection, nusinersen, 0.1 mg |
126 |
115 |
$16.46M |
| J1325 |
Injection, epoprostenol, 0.5 mg |
2,677 |
742 |
$1.03M |
| J3285 |
Injection, treprostinil, 1 mg |
175 |
63 |
$302K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
90 |
88 |
$111K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
3,156 |
1,138 |
$109K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
4,178 |
1,863 |
$28K |
| K0455 |
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) |
986 |
841 |
$13K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
35 |
24 |
$535.25 |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
721 |
319 |
$355.86 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
176 |
105 |
$33.60 |