| Code | Description | Claims | Beneficiaries | Total Paid |
| 99601 |
|
1,204 |
724 |
$33K |
| 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 |
609 |
374 |
$8K |
| S9490 |
Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
152 |
118 |
$4K |
| 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 |
44 |
33 |
$885.00 |
| 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 |
29 |
24 |
$487.20 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
17 |
12 |
$188.61 |
| S9373 |
Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales) |
17 |
14 |
$140.64 |
| J7050 |
Infusion, normal saline solution, 250 cc |
165 |
122 |
$42.78 |