| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
550 |
489 |
$1.09M |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
435 |
419 |
$808K |
| 90378 |
|
173 |
131 |
$614K |
| 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 |
2,470 |
2,171 |
$22K |
| 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 |
142 |
132 |
$15K |
| 90750 |
|
13 |
13 |
$3K |