| 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 |
287 |
128 |
$96K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,683 |
883 |
$43K |
| S9330 |
Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
214 |
137 |
$37K |
| J9190 |
Injection, fluorouracil, 500 mg |
499 |
311 |
$11K |
| S9375 |
Home infusion therapy, hydration therapy; 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 (drugs and nursing visits coded separately), per diem |
26 |
13 |
$6K |
| 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 |
23 |
13 |
$5K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
120 |
97 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
130 |
49 |
$3K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
39 |
38 |
$882.03 |
| A4245 |
Alcohol wipes, per box |
25 |
24 |
$45.82 |