| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1559 |
Hizentra injection |
3,746 |
1,211 |
$4.58M |
| J1569 |
Gammagard liquid injection |
270 |
134 |
$806K |
| A4222 |
Infusion supplies with pump |
10,436 |
3,540 |
$469K |
| B4224 |
Parenteral administration ki |
4,035 |
699 |
$251K |
| B4185 |
Pn soln nos 10 grams lipids |
1,759 |
410 |
$224K |
| 99601 |
|
3,807 |
1,728 |
$160K |
| 99602 |
Nursing care in home rn |
2,941 |
1,413 |
$112K |
| B4220 |
Parenteral supply kit premix |
3,895 |
687 |
$79K |
| S9338 |
Hit immunotherapy diem |
2,597 |
898 |
$46K |
| J1555 |
Inj cuvitru, 100 mg |
48 |
12 |
$45K |
| B4189 |
Parenteral sol amino acid & |
51 |
12 |
$34K |
| A4221 |
Supp non-insulin inf cath/wk |
1,821 |
991 |
$24K |
| B4035 |
Enteral feed supp pump per d |
65 |
51 |
$11K |
| A4223 |
Infusion supplies w/o pump |
1,180 |
458 |
$11K |
| G0299 |
Hhs/hospice of rn ea 15 min |
55 |
29 |
$9K |
| K0552 |
Sup/ext non-ins inf pump syr |
467 |
272 |
$267.41 |