| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0584 |
Injection, burosumab-twza 1m |
3,527 |
2,333 |
$72.39M |
| J0638 |
Canakinumab injection |
910 |
793 |
$19.84M |
| J1726 |
Makena, 10 mg |
6,489 |
5,149 |
$18.63M |
| J7170 |
Inj., emicizumab-kxwh 0.5 mg |
763 |
439 |
$16.59M |
| J3285 |
Treprostinil injection |
2,757 |
1,496 |
$11.52M |
| J7298 |
Mirena, 52 mg |
11,978 |
11,001 |
$10.75M |
| J2357 |
Omalizumab injection |
3,752 |
2,935 |
$10.02M |
| J7307 |
Etonogestrel implant system |
9,188 |
8,531 |
$8.28M |
| J2323 |
Natalizumab injection |
859 |
812 |
$6.46M |
| J2182 |
Injection, mepolizumab, 1mg |
1,744 |
1,538 |
$5.50M |
| J3380 |
Inj vedolizumab iv 1 mg |
705 |
645 |
$5.34M |
| J1950 |
Leuprolide acetate /3.75 mg |
1,047 |
952 |
$5.06M |
| J0490 |
Belimumab injection |
1,342 |
1,227 |
$4.85M |
| J0585 |
Injection,onabotulinumtoxina |
4,142 |
3,922 |
$4.45M |
| J2350 |
Injection, ocrelizumab, 1 mg |
137 |
133 |
$4.30M |
| J0178 |
Aflibercept injection |
1,338 |
1,314 |
$3.65M |
| J2315 |
Naltrexone, depot form |
2,144 |
2,035 |
$2.92M |
| J0775 |
Collagenase, clost hist inj |
271 |
240 |
$2.67M |
| 90378 |
|
838 |
551 |
$2.00M |
| J2426 |
Inj, invega sustenna, 1 mg |
585 |
523 |
$1.20M |
| J0517 |
Inj., benralizumab, 1 mg |
252 |
227 |
$1.18M |
| Q9992 |
Buprenorphine xr over 100 mg |
612 |
518 |
$1.11M |
| J0180 |
Agalsidase beta injection |
51 |
36 |
$1.07M |
| Q9991 |
Buprenorph xr 100 mg or less |
520 |
431 |
$930K |
| J0897 |
Denosumab injection |
478 |
457 |
$802K |
| J3590 |
Unclassified biologics |
111 |
77 |
$709K |
| J2356 |
Inj tezepelumab-ekko, 1mg |
191 |
151 |
$661K |
| J7296 |
Kyleena, 19.5 mg |
700 |
671 |
$637K |
| J0401 |
Inj, abilify maintena, 1 mg |
309 |
290 |
$621K |
| Q5103 |
Injection, inflectra |
103 |
99 |
$493K |
| J7301 |
Skyla, 13.5 mg |
522 |
472 |
$374K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
59 |
57 |
$353K |
| J0578 |
Inj brixadi, more than 7 day |
185 |
168 |
$323K |
| J1745 |
Infliximab not biosimil 10mg |
42 |
39 |
$238K |
| J3357 |
Ustekinumab sub cu inj, 1 mg |
13 |
13 |
$236K |
| Q5104 |
Injection, renflexis |
59 |
55 |
$220K |
| J3490 |
Drugs unclassified injection |
52 |
50 |
$126K |
| J2794 |
Inj risperdal consta, 0.5 mg |
109 |
91 |
$126K |
| Q0513 |
Disp fee inhal drugs/30 days |
418 |
365 |
$95K |
| J1561 |
Gamunex-c/gammaked |
30 |
27 |
$86K |
| J0577 |
Inj, brixadi, 7 days or less |
109 |
63 |
$65K |
| J0491 |
Inj anifrolumab-fnia 1mg |
12 |
12 |
$56K |
| S9379 |
Hit noc per diem |
213 |
183 |
$48K |
| J7518 |
Mycophenolic acid |
1,330 |
1,086 |
$44K |
| J7507 |
Tacrolimus imme rel oral 1mg |
4,401 |
3,363 |
$40K |
| A4222 |
Infusion supplies with pump |
532 |
358 |
$37K |
| Q0512 |
Px sup fee anti-can sub pres |
9,745 |
4,901 |
$37K |
| J7517 |
Mycophenolate mofetil oral |
2,610 |
2,235 |
$31K |
| 99601 |
|
181 |
65 |
$27K |
| J1559 |
Hizentra injection |
90 |
57 |
$24K |
| Q0511 |
Sup fee antiem,antica,immuno |
1,793 |
1,547 |
$14K |
| J2790 |
Rho d immune globulin inj |
153 |
128 |
$14K |
| A4221 |
Supp non-insulin inf cath/wk |
412 |
278 |
$12K |
| K0455 |
Pump uninterrupted infusion |
385 |
332 |
$10K |
| J7515 |
Cyclosporine oral 25 mg |
378 |
333 |
$6K |
| J7520 |
Sirolimus, oral |
52 |
50 |
$3K |
| S9357 |
Hit enzyme replace diem |
95 |
78 |
$3K |
| J7699 |
Inhalation solution for dme |
28 |
28 |
$3K |
| S5000 |
Prescription drug, generic |
112 |
89 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
928 |
831 |
$881.68 |