| Code | Description | Total Paid |
| S9351 |
Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem |
$3.51M |
| H1003 |
Prenatal care, at-risk enhanced service; education |
$858K |
| S9560 |
Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
$833K |
| H0046 |
Mental health services, not otherwise specified |
$497K |
| 99506 |
|
$497K |
| S9140 |
Diabetic management program, follow-up visit to non-md provider |
$462K |
| 99601 |
|
$132K |
| S9214 |
Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) |
$110K |
| S9211 |
Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$69K |