| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
3,339 |
1,182 |
$339K |
| J1555 |
Injection, immune globulin (cuvitru), 100 mg |
110 |
74 |
$211K |
| 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 |
2,357 |
1,106 |
$178K |
| 99602 |
Nursing care in home rn |
477 |
244 |
$56K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
105 |
61 |
$17K |
| 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 |
31 |
12 |
$17K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
23 |
13 |
$322.60 |