| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,664 |
344 |
$276K |
| 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 |
369 |
67 |
$59K |
| 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 |
99 |
12 |
$9K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
208 |
25 |
$8K |
| A9270 |
Non-covered item or service |
726 |
203 |
$0.00 |