| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0135 |
Injection, adalimumab, 20 mg |
831 |
762 |
$4.04M |
| 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 |
5,213 |
4,642 |
$2.24M |
| 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 |
10,532 |
2,529 |
$2.08M |
| 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 |
5,563 |
1,566 |
$1.52M |
| J3490 |
Unclassified drugs |
2,085 |
1,931 |
$1.51M |
| 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 |
3,885 |
1,059 |
$985K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
5,447 |
1,749 |
$890K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
8,551 |
1,719 |
$824K |
| 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 |
922 |
234 |
$713K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
5,974 |
1,878 |
$522K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,034 |
1,886 |
$308K |
| 99601 |
|
2,627 |
1,365 |
$274K |
| J3590 |
Unclassified biologics |
90 |
84 |
$266K |
| 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 |
948 |
368 |
$194K |
| J1438 |
Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
147 |
134 |
$185K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,440 |
899 |
$163K |
| B9998 |
Noc for enteral supplies |
2,293 |
1,906 |
$123K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,123 |
493 |
$90K |
| 99602 |
Nursing care in home rn |
371 |
222 |
$48K |
| 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 |
250 |
64 |
$43K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
445 |
372 |
$38K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
329 |
168 |
$35K |
| S9340 |
Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
88 |
71 |
$23K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
103 |
101 |
$12K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
144 |
79 |
$8K |
| G0154 |
Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes |
50 |
18 |
$5K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
321 |
168 |
$3K |
| B9002 |
Enteral nutrition infusion pump, any type |
13 |
13 |
$286.67 |