| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
564 |
535 |
$3.72M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
730 |
710 |
$2.39M |
| 99601 |
|
10,031 |
4,891 |
$832K |
| 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 |
1,769 |
677 |
$490K |
| 99602 |
Nursing care in home rn |
2,422 |
1,817 |
$199K |
| 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 |
2,705 |
2,335 |
$182K |
| S9366 |
Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
193 |
53 |
$119K |
| 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 |
119 |
41 |
$61K |
| Q5104 |
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
12 |
12 |
$59K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
961 |
620 |
$16K |
| 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 |
34 |
13 |
$12K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
140 |
108 |
$2K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
37 |
12 |
$1K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
64 |
42 |
$542.40 |