| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
130 |
123 |
$250K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
109 |
104 |
$212K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,899 |
2,861 |
$146K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,279 |
2,247 |
$110K |
| 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 |
106 |
105 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |