| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
4,002 |
3,713 |
$4.90M |
| 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 |
20,741 |
2,995 |
$4.25M |
| 99601 |
|
32,450 |
10,634 |
$3.10M |
| S9330 |
Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
17,319 |
4,171 |
$2.80M |
| S9502 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
5,643 |
686 |
$1.45M |
| S9348 |
Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
7,872 |
437 |
$924K |
| J1726 |
Injection, hydroxyprogesterone caproate, (makena), 10 mg |
628 |
184 |
$496K |
| S9501 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
2,259 |
248 |
$435K |
| 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 |
2,926 |
619 |
$365K |
| J2260 |
Injection, milrinone lactate, 5 mg |
5,865 |
917 |
$273K |
| J9190 |
Injection, fluorouracil, 500 mg |
5,759 |
1,980 |
$108K |
| J1729 |
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg |
187 |
55 |
$88K |
| 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 |
469 |
65 |
$29K |
| 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 |
616 |
155 |
$28K |
| S9375 |
Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
171 |
30 |
$26K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,421 |
3,421 |
$9K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
2,127 |
744 |
$5K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,116 |
724 |
$4K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
2,219 |
1,871 |
$4K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,697 |
1,404 |
$1K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
354 |
291 |
$973.66 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,590 |
2,873 |
$463.72 |
| G0068 |
Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
293 |
83 |
$140.93 |
| G0070 |
Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes |
25 |
12 |
$55.94 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,454 |
5,156 |
$21.20 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,272 |
4,495 |
$14.40 |
| A9270 |
Non-covered item or service |
41 |
12 |
$0.00 |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
149 |
67 |
$0.00 |