| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1559 |
Injection, immune globulin (hizentra), 100 mg |
3,267 |
1,800 |
$4.89M |
| S9061 |
Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
7,954 |
2,374 |
$2.35M |
| S9590 |
Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
6,972 |
1,008 |
$1.65M |
| J3490 |
Unclassified drugs |
24,339 |
2,185 |
$1.25M |
| 99601 |
|
9,861 |
3,198 |
$1.16M |
| 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 |
8,368 |
2,120 |
$608K |
| 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 |
4,974 |
939 |
$539K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
3,891 |
676 |
$530K |
| J7682 |
Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams |
611 |
470 |
$299K |
| 99602 |
Nursing care in home rn |
2,341 |
588 |
$237K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
8,557 |
2,799 |
$190K |
| S5502 |
Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) |
4,288 |
1,267 |
$163K |
| S9366 |
Home infusion therapy, total parenteral nutrition (tpn); 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 including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
379 |
79 |
$159K |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
1,114 |
933 |
$118K |
| 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 |
333 |
118 |
$45K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
2,171 |
821 |
$13K |
| A4217 |
Sterile water/saline, 500 ml |
1,545 |
609 |
$9K |
| S9338 |
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
16 |
12 |
$579.41 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
21 |
13 |
$133.75 |