| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3285 |
Injection, treprostinil, 1 mg |
12,885 |
7,388 |
$55.30M |
| J7686 |
Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg |
3,664 |
2,682 |
$12.48M |
| J1559 |
Injection, immune globulin (hizentra), 100 mg |
9,258 |
4,885 |
$12.37M |
| J7170 |
Injection, emicizumab-kxwh, 0.5 mg |
824 |
495 |
$10.65M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
5,807 |
2,837 |
$9.62M |
| J1325 |
Injection, epoprostenol, 0.5 mg |
6,735 |
3,346 |
$4.93M |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
2,902 |
1,260 |
$4.90M |
| J1555 |
Injection, immune globulin (cuvitru), 100 mg |
2,666 |
1,451 |
$4.18M |
| S9347 |
Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
14,617 |
3,862 |
$4.10M |
| J7192 |
Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified |
1,123 |
252 |
$3.01M |
| J1575 |
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin |
1,889 |
901 |
$2.98M |
| J7340 |
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml |
1,596 |
1,131 |
$1.81M |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
14,396 |
7,492 |
$953K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
30,168 |
14,994 |
$668K |
| 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 |
6,718 |
3,541 |
$586K |
| 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 |
5,821 |
787 |
$467K |
| 99601 |
|
4,186 |
1,801 |
$464K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
210 |
170 |
$359K |
| 99602 |
Nursing care in home rn |
1,874 |
939 |
$306K |
| K0455 |
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) |
7,062 |
5,833 |
$249K |
| Q2052 |
Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig) |
1,810 |
1,032 |
$119K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
2,183 |
1,716 |
$108K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
1,919 |
1,461 |
$99K |
| K0552 |
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
7,729 |
5,767 |
$87K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
39 |
39 |
$39K |
| S9999 |
Sales tax |
403 |
299 |
$39K |
| J1459 |
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg |
22 |
12 |
$17K |
| S9346 |
Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
259 |
77 |
$12K |
| S0155 |
Sterile dilutant for epoprostenol, 50 ml |
35 |
24 |
$10K |
| E0779 |
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater |
1,341 |
1,105 |
$6K |
| E0574 |
Ultrasonic/electronic aerosol generator with small volume nebulizer |
595 |
476 |
$3K |
| S9357 |
Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
17 |
13 |
$1K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
56 |
45 |
$45.71 |