| G0300 | Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes | 269 | 420 | 1,180 | $280 | $1.9M |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 18 | 20 | 260 | $2,370 | $1.2M |
| J0129 | Injection, abatacept, 10 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) | 18 | 20 | 240 | $1,870 | $1.2M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1 | 40 | 4,210 | $100 | $1.1M |
| 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… | 1 | 30 | 1,200 | $240 | $1M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 20 | 40 | 200 | $1,990 | $1M |
| J0135 | Injection, adalimumab, 20 mg | 12 | 20 | 130 | $2,450 | $809.4K |
| 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… | 1 | 10 | 1,500 | $260 | $711.3K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 46 | 80 | 1,720 | $90 | $686.6K |
| 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… | 1 | 10 | 870 | $260 | $669.7K |