| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Inj pembrolizumab |
4,313 |
2,882 |
$38.88M |
| J9035 |
Bevacizumab injection |
5,164 |
2,649 |
$21.35M |
| J9299 |
Injection, nivolumab |
2,026 |
1,286 |
$15.23M |
| J9355 |
Inj trastuzumab excl biosimi |
2,773 |
1,931 |
$12.34M |
| J9306 |
Injection, pertuzumab, 1 mg |
1,768 |
1,241 |
$9.25M |
| J9312 |
Inj., rituximab, 10 mg |
1,164 |
595 |
$5.54M |
| J0897 |
Denosumab injection |
1,654 |
1,373 |
$3.74M |
| J9395 |
Injection, fulvestrant |
1,191 |
989 |
$1.97M |
| J9055 |
Cetuximab injection |
170 |
98 |
$1.10M |
| J9022 |
Inj, atezolizumab,10 mg |
158 |
103 |
$992K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
250 |
168 |
$955K |
| J9310 |
Rituximab injection |
199 |
85 |
$636K |
| J9070 |
Cyclophosphamide 100 mg inj |
1,238 |
730 |
$629K |
| J9263 |
Oxaliplatin |
2,588 |
1,315 |
$431K |
| J9358 |
Inj fam-trastu deru-nxki 1mg |
39 |
24 |
$391K |
| J9171 |
Docetaxel injection |
1,637 |
852 |
$359K |
| J0640 |
Leucovorin calcium injection |
3,997 |
2,034 |
$277K |
| J2505 |
Injection, pegfilgrastim 6mg |
51 |
36 |
$263K |
| J3489 |
Zoledronic acid 1mg |
2,075 |
1,815 |
$183K |
| J1453 |
Fosaprepitant injection |
1,019 |
699 |
$173K |
| J0585 |
Injection,onabotulinumtoxina |
206 |
164 |
$172K |
| J9190 |
Fluorouracil injection |
4,257 |
2,184 |
$162K |
| J9217 |
Leuprolide acetate suspnsion |
78 |
55 |
$90K |
| J9045 |
Carboplatin injection |
2,630 |
1,467 |
$87K |
| J9267 |
Paclitaxel injection |
1,812 |
961 |
$81K |
| J9206 |
Irinotecan injection |
951 |
494 |
$57K |
| J9000 |
Doxorubicin hcl injection |
950 |
553 |
$40K |
| J0129 |
Abatacept injection |
17 |
13 |
$39K |
| J1100 |
Dexamethasone sodium phos |
8,924 |
6,715 |
$37K |
| J2405 |
Ondansetron hcl injection |
11,540 |
8,452 |
$36K |
| J1442 |
Inj filgrastim excl biosimil |
16 |
13 |
$27K |
| J9202 |
Goserelin acetate implant |
45 |
40 |
$24K |
| J1200 |
Diphenhydramine hcl injectio |
9,610 |
7,317 |
$14K |
| J2916 |
Na ferric gluconate complex |
49 |
46 |
$8K |
| J9060 |
Cisplatin 10 mg injection |
189 |
143 |
$8K |
| J7321 |
Hyalgan supartz visco-3 dose |
16 |
13 |
$7K |
| J7507 |
Tacrolimus imme rel oral 1mg |
28 |
19 |
$6K |
| S0028 |
Injection, famotidine, 20 mg |
6,170 |
4,746 |
$6K |
| J2780 |
Ranitidine hydrochloride inj |
141 |
113 |
$3K |
| J3490 |
Drugs unclassified injection |
1,234 |
829 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
17 |
12 |
$152.19 |
| J7040 |
Normal saline solution infus |
42 |
25 |
$134.06 |