| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
6,355 |
1,914 |
$207K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
1,921 |
1,129 |
$148K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
439 |
84 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
69 |
13 |
$44.41 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
127 |
12 |
$7.05 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$0.00 |