| Code | Description | Claims | Beneficiaries | Total Paid |
| S9097 |
Home visit wound care |
111,089 |
13,148 |
$8.69M |
| 97602 |
|
72,204 |
7,370 |
$6.29M |
| J9035 |
Bevacizumab injection |
1,317 |
655 |
$5.44M |
| J9355 |
Inj trastuzumab excl biosimi |
842 |
507 |
$3.67M |
| T1030 |
Rn home care per diem |
23,089 |
5,504 |
$2.54M |
| 96365 |
|
20,024 |
2,102 |
$2.24M |
| J9299 |
Injection, nivolumab |
628 |
281 |
$2.24M |
| J9306 |
Injection, pertuzumab, 1 mg |
417 |
263 |
$1.78M |
| J9271 |
Inj pembrolizumab |
266 |
206 |
$1.13M |
| J9312 |
Inj., rituximab, 10 mg |
276 |
162 |
$1.10M |
| E2402 |
Neg press wound therapy pump |
1,804 |
665 |
$1.06M |
| S9494 |
Hit antibiotic total diem |
10,692 |
3,550 |
$1.03M |
| J1335 |
Ertapenem injection |
1,648 |
798 |
$820K |
| S9131 |
Pt in the home per diem |
6,438 |
774 |
$723K |
| J9395 |
Injection, fulvestrant |
311 |
215 |
$482K |
| T1001 |
Nursing assessment/evaluatn |
6,153 |
5,071 |
$426K |
| J9310 |
Rituximab injection |
77 |
25 |
$380K |
| J0878 |
Daptomycin injection |
564 |
131 |
$302K |
| J0897 |
Denosumab injection |
114 |
104 |
$203K |
| J9070 |
Cyclophosphamide 100 mg inj |
478 |
282 |
$197K |
| J0640 |
Leucovorin calcium injection |
1,298 |
534 |
$78K |
| J9263 |
Oxaliplatin |
738 |
341 |
$70K |
| S9129 |
Occupational therapy, in the |
602 |
30 |
$69K |
| J3370 |
Vancomycin hcl injection |
652 |
330 |
$67K |
| J3489 |
Zoledronic acid 1mg |
686 |
527 |
$59K |
| M0223 |
Bebtelovimab injection home |
463 |
362 |
$57K |
| J0696 |
Ceftriaxone sodium injection |
1,058 |
572 |
$48K |
| J9171 |
Docetaxel injection |
454 |
259 |
$47K |
| G0157 |
Hhc pt assistant ea 15 |
444 |
107 |
$33K |
| 99600 |
|
480 |
359 |
$31K |
| M0243 |
Casirivi and imdevi inj |
242 |
162 |
$28K |
| J9267 |
Paclitaxel injection |
932 |
393 |
$26K |
| J9045 |
Carboplatin injection |
778 |
415 |
$23K |
| J9190 |
Fluorouracil injection |
1,841 |
610 |
$21K |
| J0692 |
Cefepime hcl for injection |
197 |
94 |
$18K |
| J2185 |
Meropenem |
64 |
28 |
$13K |
| S9379 |
Hit noc per diem |
289 |
113 |
$11K |
| J9000 |
Doxorubicin hcl injection |
423 |
252 |
$10K |
| J2543 |
Piperacillin/tazobactam |
64 |
41 |
$9K |
| M0239 |
Bamlanivimab-xxxx infusion |
68 |
40 |
$8K |
| J2405 |
Ondansetron hcl injection |
3,143 |
1,901 |
$6K |
| M0245 |
Bamlan and etesev infusion |
39 |
34 |
$4K |
| J9201 |
In gemcitabine hcl nos 200mg |
91 |
41 |
$4K |
| M0247 |
Sotrovimab infusion |
53 |
49 |
$4K |
| J9206 |
Irinotecan injection |
78 |
42 |
$3K |
| J9217 |
Leuprolide acetate suspnsion |
17 |
15 |
$1K |
| 97597 |
|
4,508 |
577 |
$1K |
| J9060 |
Cisplatin 10 mg injection |
22 |
12 |
$452.40 |
| J1100 |
Dexamethasone sodium phos |
320 |
262 |
$449.71 |
| J1200 |
Diphenhydramine hcl injectio |
299 |
243 |
$323.39 |
| S0028 |
Injection, famotidine, 20 mg |
23 |
16 |
$16.19 |
| 99341 |
|
13 |
13 |
$0.00 |