| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
3,849 |
1,978 |
$7.72M |
| J9035 |
Injection, bevacizumab, 10 mg |
183 |
149 |
$1.12M |
| J9271 |
Injection, pembrolizumab, 1 mg |
79 |
68 |
$918K |
| J9395 |
Injection, fulvestrant, 25 mg |
476 |
211 |
$713K |
| J9355 |
Injection, trastuzumab, excludes biosimilar, 10 mg |
136 |
95 |
$631K |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
91 |
82 |
$552K |
| J0897 |
Injection, denosumab, 1 mg |
218 |
203 |
$465K |
| J9312 |
Injection, rituximab, 10 mg |
21 |
17 |
$152K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
130 |
127 |
$149K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
2,469 |
667 |
$133K |
| J9264 |
Injection, paclitaxel protein-bound particles, 1 mg |
16 |
12 |
$111K |
| J9299 |
Injection, nivolumab, 1 mg |
20 |
13 |
$53K |
| J9070 |
Cyclophosphamide, 100 mg |
90 |
47 |
$50K |
| S9379 |
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,645 |
497 |
$47K |
| J9306 |
Injection, pertuzumab, 1 mg |
20 |
13 |
$41K |
| J3489 |
Injection, zoledronic acid, 1 mg |
120 |
94 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,412 |
1,550 |
$5K |
| J1453 |
Injection, fosaprepitant, 1 mg |
17 |
13 |
$5K |
| J9171 |
Injection, docetaxel, 1 mg |
46 |
40 |
$5K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
210 |
126 |
$4K |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
39 |
29 |
$4K |
| J9267 |
Injection, paclitaxel, 1 mg |
64 |
49 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
850 |
640 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,161 |
910 |
$3K |
| J9190 |
Injection, fluorouracil, 500 mg |
426 |
164 |
$2K |
| J9045 |
Injection, carboplatin, 50 mg |
110 |
86 |
$2K |
| J9000 |
Injection, doxorubicin hydrochloride, 10 mg |
18 |
16 |
$510.00 |
| S0028 |
Injection, famotidine, 20 mg |
603 |
470 |
$229.22 |