| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 8 | 20 | 140 | $2,120 | $1.4M |
| 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… | 5 | 20 | 1,660 | $260 | $897.7K |
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 4 | 20 | 2,510 | $110 | $737.1K |
| 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… | 7 | 10 | 490 | $250 | $529.5K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and… | 4 | 10 | 620 | $320 | $487.6K |
| J1555 | Injection, immune globulin (cuvitru), 100 mg | 1 | 10 | 220 | $1,850 | $415.2K |
| 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… | 6 | 10 | 400 | $270 | $262K |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 1 | 10 | 110 | $2,190 | $243.2K |
| 99602 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours. | 3 | 20 | 1,150 | $120 | $223.1K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),… | 2 | 10 | 1,320 | $60 | $100.5K |