| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9299 |
Injection, nivolumab |
935 |
654 |
$6.42M |
| J1439 |
Inj ferric carboxymaltos 1mg |
4,401 |
2,971 |
$3.84M |
| J9271 |
Inj pembrolizumab |
261 |
211 |
$3.10M |
| 96413 |
|
15,437 |
9,573 |
$1.69M |
| 99214 |
|
18,519 |
17,228 |
$1.39M |
| 99213 |
|
20,027 |
19,562 |
$1.04M |
| J2505 |
Injection, pegfilgrastim 6mg |
304 |
243 |
$874K |
| J0881 |
Darbepoetin alfa, non-esrd |
710 |
544 |
$530K |
| 96365 |
|
6,802 |
4,581 |
$442K |
| J2469 |
Palonosetron hcl |
6,803 |
3,532 |
$438K |
| 99204 |
|
3,551 |
3,532 |
$413K |
| 96375 |
|
9,415 |
5,209 |
$295K |
| J0897 |
Denosumab injection |
194 |
176 |
$293K |
| 96372 |
|
12,575 |
8,511 |
$204K |
| 96417 |
|
2,849 |
1,954 |
$134K |
| 96415 |
|
1,581 |
1,092 |
$49K |
| 96402 |
|
1,366 |
1,264 |
$33K |
| J1100 |
Dexamethasone sodium phos |
7,222 |
3,922 |
$30K |
| 96401 |
|
473 |
310 |
$28K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
15 |
12 |
$28K |
| Q5106 |
Inj retacrit non-esrd use |
120 |
51 |
$26K |
| 96367 |
|
742 |
528 |
$21K |
| 99232 |
|
411 |
204 |
$21K |
| 99211 |
|
850 |
820 |
$18K |
| 99203 |
|
152 |
152 |
$12K |
| 99212 |
|
119 |
119 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
99 |
50 |
$5K |
| J3420 |
Vitamin b12 injection |
2,602 |
2,294 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
31 |
31 |
$4K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| J0640 |
Leucovorin calcium injection |
23 |
12 |
$992.44 |
| J1200 |
Diphenhydramine hcl injectio |
741 |
500 |
$592.00 |
| G2211 |
Complex e/m visit add on |
148 |
142 |
$560.53 |
| J9045 |
Carboplatin injection |
14 |
12 |
$506.54 |
| J3489 |
Zoledronic acid 1mg |
14 |
12 |
$457.48 |
| 96411 |
|
34 |
24 |
$425.57 |
| J9190 |
Fluorouracil injection |
22 |
12 |
$329.55 |
| 96523 |
|
24 |
14 |
$161.24 |