| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9035 |
Bevacizumab injection |
366 |
302 |
$2.18M |
| J9271 |
Inj pembrolizumab |
178 |
143 |
$1.58M |
| J9355 |
Inj trastuzumab excl biosimi |
47 |
36 |
$199K |
| J9306 |
Injection, pertuzumab, 1 mg |
14 |
12 |
$66K |
| J0640 |
Leucovorin calcium injection |
302 |
239 |
$62K |
| Q0081 |
Infusion ther other than che |
560 |
409 |
$37K |
| J9190 |
Fluorouracil injection |
461 |
363 |
$17K |
| J9263 |
Oxaliplatin |
63 |
55 |
$11K |
| J2405 |
Ondansetron hcl injection |
1,669 |
1,353 |
$9K |
| J1100 |
Dexamethasone sodium phos |
1,313 |
1,054 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
1,445 |
1,185 |
$2K |
| J9045 |
Carboplatin injection |
33 |
26 |
$2K |
| J3489 |
Zoledronic acid 1mg |
14 |
13 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
1,004 |
822 |
$1K |
| J3490 |
Drugs unclassified injection |
72 |
52 |
$123.56 |