| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
91,847 |
65,282 |
$3.53M |
| 96413 |
|
34,130 |
17,127 |
$2.11M |
| 99213 |
|
45,941 |
35,733 |
$1.30M |
| J9271 |
Inj pembrolizumab |
170 |
127 |
$997K |
| 85025 |
|
168,785 |
107,087 |
$711K |
| 99215 |
Prolong outpt/office vis |
5,305 |
3,795 |
$358K |
| 99232 |
|
6,625 |
1,907 |
$268K |
| 96367 |
|
10,928 |
5,872 |
$244K |
| 36415 |
|
138,816 |
90,227 |
$231K |
| 96365 |
|
6,290 |
3,476 |
$224K |
| 99223 |
Prolong inpt eval add15 m |
2,079 |
1,948 |
$217K |
| J2469 |
Palonosetron hcl |
5,820 |
3,244 |
$136K |
| 96372 |
|
12,933 |
8,127 |
$124K |
| 96375 |
|
8,679 |
4,402 |
$119K |
| 80053 |
|
34,861 |
23,872 |
$117K |
| J0185 |
Inj., aprepitant, 1 mg |
951 |
596 |
$116K |
| 99204 |
|
1,298 |
1,255 |
$112K |
| 78815 |
|
241 |
137 |
$84K |
| J1437 |
Inj. fe derisomaltose 10 mg |
148 |
141 |
$84K |
| 96417 |
|
2,760 |
1,602 |
$83K |
| Q5126 |
Inj alymsys 10 mg |
47 |
24 |
$70K |
| J0897 |
Denosumab injection |
80 |
64 |
$67K |
| J1453 |
Fosaprepitant injection |
991 |
499 |
$66K |
| J1756 |
Iron sucrose injection |
2,433 |
1,076 |
$63K |
| Q5118 |
Inj., zirabev, 10 mg |
38 |
24 |
$53K |
| 82728 |
|
8,328 |
6,631 |
$32K |
| 99203 |
|
467 |
453 |
$27K |
| 96523 |
|
1,573 |
1,233 |
$22K |
| J0881 |
Darbepoetin alfa, non-esrd |
215 |
146 |
$22K |
| 84443 |
|
4,898 |
3,031 |
$20K |
| 99231 |
|
720 |
221 |
$20K |
| 99205 |
Prolong outpt/office vis |
175 |
145 |
$17K |
| 96415 |
|
1,131 |
681 |
$16K |
| 82378 |
|
2,910 |
2,202 |
$15K |
| 82607 |
|
3,778 |
3,036 |
$14K |
| 84466 |
|
4,091 |
3,306 |
$14K |
| 96411 |
|
388 |
234 |
$12K |
| 83540 |
|
6,762 |
5,433 |
$11K |
| J1100 |
Dexamethasone sodium phos |
10,914 |
5,574 |
$10K |
| 96416 |
|
131 |
73 |
$10K |
| 83735 |
|
4,683 |
2,649 |
$9K |
| J9267 |
Paclitaxel injection |
219 |
83 |
$9K |
| J0640 |
Leucovorin calcium injection |
330 |
186 |
$8K |
| 86300 |
|
2,019 |
1,449 |
$8K |
| J3420 |
Vitamin b12 injection |
2,195 |
1,628 |
$7K |
| 83550 |
|
3,639 |
2,985 |
$7K |
| 82784 |
|
973 |
846 |
$7K |
| J9190 |
Fluorouracil injection |
523 |
292 |
$7K |
| 83615 |
|
3,643 |
2,741 |
$6K |
| 84165 |
|
2,142 |
1,645 |
$6K |
| 86334 |
|
1,318 |
1,033 |
$5K |
| 96368 |
|
503 |
295 |
$5K |
| 82746 |
|
1,534 |
1,269 |
$5K |
| 82306 |
|
599 |
458 |
$5K |
| 99255 |
|
39 |
38 |
$5K |
| 83883 |
|
1,178 |
1,039 |
$4K |
| J0885 |
Epoetin alfa, non-esrd |
87 |
47 |
$4K |
| 99212 |
|
133 |
120 |
$4K |
| J2916 |
Na ferric gluconate complex |
206 |
80 |
$3K |
| J1750 |
Inj iron dextran |
66 |
26 |
$3K |
| 99222 |
|
50 |
43 |
$3K |
| 99253 |
|
28 |
27 |
$2K |
| A9552 |
F18 fdg |
229 |
139 |
$2K |
| 96361 |
|
38 |
25 |
$2K |
| 99221 |
|
29 |
27 |
$1K |
| 88185 |
|
17 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
33 |
12 |
$1K |
| G2211 |
Complex e/m visit add on |
228 |
194 |
$1K |
| 86304 |
|
129 |
91 |
$1K |
| 99254 |
|
15 |
13 |
$1K |
| 74177 |
|
30 |
27 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,776 |
897 |
$967.28 |
| 71260 |
|
32 |
29 |
$827.86 |
| 51798 |
|
334 |
283 |
$668.65 |
| 99442 |
|
49 |
41 |
$582.20 |
| J9045 |
Carboplatin injection |
42 |
24 |
$535.11 |
| J2405 |
Ondansetron hcl injection |
487 |
235 |
$516.79 |
| 86301 |
|
58 |
41 |
$510.28 |
| 81002 |
|
824 |
657 |
$433.81 |
| 84153 |
|
128 |
95 |
$402.09 |
| 84439 |
|
100 |
63 |
$339.51 |
| G0452 |
Molecular pathology interpr |
45 |
30 |
$297.34 |
| 80048 |
|
74 |
52 |
$180.62 |
| 84100 |
|
145 |
94 |
$169.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
42 |
41 |
$164.84 |
| 88184 |
|
17 |
12 |
$96.44 |
| 83010 |
|
16 |
12 |
$79.68 |
| 88189 |
|
18 |
15 |
$71.01 |
| J3490 |
Drugs unclassified injection |
127 |
49 |
$63.36 |
| 82962 |
|
38 |
13 |
$21.85 |
| J7040 |
Normal saline solution infus |
16 |
12 |
$19.33 |
| G9678 |
Oncology care model service |
1,723 |
1,625 |
$0.00 |
| M0010 |
Eom meos payment |
106 |
106 |
$0.00 |