| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,838 |
2,273 |
$2.72M |
| 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 |
8,618 |
1,498 |
$1.23M |
| J1726 |
Injection, hydroxyprogesterone caproate, (makena), 10 mg |
1,431 |
454 |
$1.15M |
| 99601 |
|
8,252 |
2,907 |
$784K |
| 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 |
4,058 |
545 |
$581K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
928 |
348 |
$281K |
| A4554 |
Disposable underpads, all sizes |
2,223 |
2,136 |
$184K |
| 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 |
1,335 |
182 |
$165K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
1,020 |
453 |
$139K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,015 |
983 |
$137K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
963 |
936 |
$96K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
1,419 |
1,367 |
$55K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,448 |
1,386 |
$44K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
218 |
206 |
$26K |
| T4540 |
Incontinence product, protective underpad, reusable, chair size, each |
1,055 |
1,024 |
$22K |
| E0570 |
Nebulizer, with compressor |
223 |
221 |
$21K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
258 |
71 |
$16K |
| A4927 |
Gloves, non-sterile, per 100 |
2,383 |
2,283 |
$10K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
84 |
26 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
221 |
220 |
$3K |
| 0012A |
|
60 |
60 |
$1K |
| 0011A |
|
63 |
63 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
117 |
116 |
$112.80 |