| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
17,596 |
8,191 |
$2.36M |
| 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 |
4,672 |
2,853 |
$832K |
| 99602 |
Nursing care in home rn |
6,208 |
3,729 |
$764K |
| 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 |
3,777 |
2,674 |
$731K |
| 90378 |
|
366 |
191 |
$472K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
55 |
48 |
$414K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
272 |
249 |
$406K |
| S9374 |
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
789 |
287 |
$278K |
| Q5121 |
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
173 |
150 |
$274K |
| 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 |
479 |
269 |
$251K |
| J0491 |
Injection, anifrolumab-fnia, 1 mg |
62 |
36 |
$141K |
| S9359 |
Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
673 |
636 |
$139K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
171 |
41 |
$68K |
| B4224 |
Parenteral nutrition administration kit, per day |
244 |
64 |
$58K |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
379 |
336 |
$50K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
156 |
40 |
$12K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
34 |
26 |
$941.43 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
121 |
112 |
$758.50 |
| J7050 |
Infusion, normal saline solution, 250 cc |
165 |
151 |
$103.76 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
31 |
27 |
$29.18 |