| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
3,849 |
1,978 |
$7.72M |
| J9035 |
Bevacizumab injection |
183 |
149 |
$1.12M |
| J9271 |
Inj pembrolizumab |
79 |
68 |
$918K |
| J9395 |
Injection, fulvestrant |
476 |
211 |
$713K |
| J9355 |
Inj trastuzumab excl biosimi |
136 |
95 |
$631K |
| J1569 |
Gammagard liquid injection |
91 |
82 |
$552K |
| J0897 |
Denosumab injection |
218 |
203 |
$465K |
| J9312 |
Inj., rituximab, 10 mg |
21 |
17 |
$152K |
| J0585 |
Injection,onabotulinumtoxina |
130 |
127 |
$149K |
| T1030 |
Rn home care per diem |
2,469 |
667 |
$133K |
| J9264 |
Paclitaxel protein bound |
16 |
12 |
$111K |
| J9299 |
Injection, nivolumab |
20 |
13 |
$53K |
| J9070 |
Cyclophosphamide 100 mg inj |
90 |
47 |
$50K |
| S9379 |
Hit noc per diem |
1,645 |
497 |
$47K |
| J9306 |
Injection, pertuzumab, 1 mg |
20 |
13 |
$41K |
| J3489 |
Zoledronic acid 1mg |
120 |
94 |
$9K |
| J2405 |
Ondansetron hcl injection |
2,412 |
1,550 |
$5K |
| J1453 |
Fosaprepitant injection |
17 |
13 |
$5K |
| J9171 |
Docetaxel injection |
46 |
40 |
$5K |
| J0640 |
Leucovorin calcium injection |
210 |
126 |
$4K |
| J9263 |
Oxaliplatin |
39 |
29 |
$4K |
| J9267 |
Paclitaxel injection |
64 |
49 |
$3K |
| J1100 |
Dexamethasone sodium phos |
850 |
640 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,161 |
910 |
$3K |
| J9190 |
Fluorouracil injection |
426 |
164 |
$2K |
| J9045 |
Carboplatin injection |
110 |
86 |
$2K |
| J9000 |
Doxorubicin hcl injection |
18 |
16 |
$510.00 |
| S0028 |
Injection, famotidine, 20 mg |
603 |
470 |
$229.22 |