| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
3,493 |
3,317 |
$6.69M |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
1,299 |
1,238 |
$2.53M |
| J7300 |
Intrauterine copper contraceptive (paragard) |
107 |
106 |
$113K |
| J0578 |
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
13 |
13 |
$23K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
24 |
14 |
$4K |