| Code | Description | Claims | Beneficiaries | Total Paid |
| J9271 |
Injection, pembrolizumab, 1 mg |
2,325 |
1,768 |
$16.87M |
| J9299 |
Injection, nivolumab, 1 mg |
2,633 |
1,622 |
$12.36M |
| J2505 |
Injection, pegfilgrastim, 6 mg |
1,515 |
1,139 |
$4.50M |
| J9173 |
Injection, durvalumab, 10 mg |
468 |
304 |
$2.09M |
| Q5122 |
Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg |
886 |
651 |
$1.87M |
| Q5117 |
Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg |
839 |
527 |
$1.87M |
| J9355 |
Injection, trastuzumab, excludes biosimilar, 10 mg |
606 |
305 |
$1.67M |
| J9306 |
Injection, pertuzumab, 1 mg |
292 |
213 |
$1.44M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
27,073 |
14,357 |
$1.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,627 |
23,101 |
$1.34M |
| J9035 |
Injection, bevacizumab, 10 mg |
510 |
268 |
$1.34M |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
565 |
306 |
$872K |
| J1930 |
Injection, lanreotide, 1 mg |
225 |
212 |
$784K |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
5,237 |
5,178 |
$776K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
1,336 |
839 |
$760K |
| 99233 |
Prolong inpt eval add15 m |
13,648 |
2,547 |
$759K |
| 99215 |
Prolong outpt/office vis |
10,001 |
9,012 |
$731K |
| 99223 |
Prolong inpt eval add15 m |
4,512 |
4,184 |
$434K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
10,147 |
6,111 |
$424K |
| J9202 |
Goserelin acetate implant, per 3.6 mg |
1,014 |
944 |
$407K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,492 |
10,034 |
$399K |
| J1454 |
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg |
723 |
511 |
$359K |
| Q5108 |
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg |
244 |
199 |
$312K |
| J9305 |
Injection, pemetrexed, not otherwise specified, 10 mg |
75 |
50 |
$302K |
| J1453 |
Injection, fosaprepitant, 1 mg |
3,525 |
2,300 |
$284K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17,810 |
9,331 |
$282K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50,721 |
32,310 |
$275K |
| 96417 |
|
7,953 |
4,847 |
$255K |
| 80053 |
Comprehensive metabolic panel |
33,774 |
24,224 |
$250K |
| Q5112 |
Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg |
116 |
77 |
$250K |
| 96416 |
|
4,356 |
2,578 |
$248K |
| J9395 |
Injection, fulvestrant, 25 mg |
239 |
214 |
$190K |
| 99205 |
Prolong outpt/office vis |
1,628 |
1,621 |
$168K |
| J1437 |
Injection, ferric derisomaltose, 10 mg |
120 |
119 |
$168K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
3,695 |
2,152 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,688 |
1,685 |
$140K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,703 |
1,883 |
$137K |
| Q5119 |
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg |
44 |
31 |
$135K |
| J9358 |
Injection, fam-trastuzumab deruxtecan-nxki, 1 mg |
19 |
12 |
$124K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,365 |
3,212 |
$118K |
| 96401 |
|
3,407 |
1,763 |
$109K |
| J0185 |
Injection, aprepitant, 1 mg |
507 |
339 |
$107K |
| 36415 |
Collection of venous blood by venipuncture |
33,520 |
21,661 |
$104K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,905 |
1,689 |
$103K |
| 96415 |
|
6,383 |
4,043 |
$103K |
| 96411 |
|
3,221 |
2,168 |
$95K |
| 96367 |
|
5,851 |
3,584 |
$94K |
| J9070 |
Cyclophosphamide, 100 mg |
331 |
222 |
$87K |
| J9190 |
Injection, fluorouracil, 500 mg |
4,755 |
2,808 |
$65K |
| J1750 |
Injection, iron dextran, 50 mg |
266 |
260 |
$63K |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
2,242 |
1,115 |
$56K |
| J9206 |
Injection, irinotecan, 20 mg |
1,835 |
1,067 |
$51K |
| J0897 |
Injection, denosumab, 1 mg |
27 |
25 |
$51K |
| 82728 |
|
5,021 |
4,818 |
$51K |
| J3489 |
Injection, zoledronic acid, 1 mg |
1,944 |
1,819 |
$51K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,449 |
1,881 |
$49K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,112 |
2,084 |
$48K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,105 |
3,526 |
$48K |
| 99245 |
|
402 |
394 |
$47K |
| J9045 |
Injection, carboplatin, 50 mg |
2,625 |
1,589 |
$46K |
| J9267 |
Injection, paclitaxel, 1 mg |
2,913 |
1,136 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,214 |
5,057 |
$39K |
| 96402 |
|
2,484 |
2,303 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
394 |
388 |
$39K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,707 |
1,540 |
$36K |
| J9171 |
Injection, docetaxel, 1 mg |
322 |
243 |
$33K |
| 84466 |
|
3,447 |
3,347 |
$32K |
| J9201 |
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg |
1,064 |
513 |
$29K |
| 83735 |
|
5,808 |
3,741 |
$26K |
| 96368 |
|
2,677 |
1,614 |
$25K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
119 |
117 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
415 |
414 |
$24K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,483 |
2,030 |
$23K |
| 82024 |
|
1,030 |
882 |
$23K |
| J9071 |
Injection, cyclophosphamide (auromedics), 5 mg |
47 |
25 |
$23K |
| 83615 |
|
5,510 |
4,887 |
$23K |
| 36430 |
|
1,301 |
686 |
$19K |
| 99195 |
|
398 |
326 |
$19K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
109 |
50 |
$18K |
| 96409 |
|
491 |
222 |
$18K |
| 83540 |
|
3,811 |
3,703 |
$18K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16,898 |
8,987 |
$18K |
| 82607 |
|
1,731 |
1,719 |
$17K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
116 |
107 |
$15K |
| 82746 |
|
1,389 |
1,380 |
$15K |
| 82378 |
|
1,005 |
937 |
$14K |
| 86300 |
|
796 |
743 |
$13K |
| 85055 |
|
670 |
350 |
$11K |
| 82784 |
|
674 |
652 |
$11K |
| J9000 |
Injection, doxorubicin hydrochloride, 10 mg |
529 |
338 |
$10K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,396 |
2,759 |
$10K |
| 82533 |
|
993 |
849 |
$9K |
| 83521 |
|
474 |
460 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
287 |
90 |
$8K |
| J9060 |
Injection, cisplatin, powder or solution, 10 mg |
721 |
354 |
$8K |
| 96523 |
|
652 |
604 |
$8K |
| 85610 |
|
2,568 |
2,147 |
$8K |
| J9075 |
Injection, cyclophosphamide, not otherwise specified, 5 mg |
46 |
27 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
108 |
107 |
$7K |
| 96377 |
|
792 |
608 |
$6K |
| 84165 |
|
922 |
900 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
313 |
311 |
$6K |
| 86704 |
|
662 |
655 |
$6K |
| 87340 |
|
696 |
689 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
68 |
63 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
7,396 |
3,480 |
$4K |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
1,447 |
843 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
147 |
$4K |
| J3490 |
Unclassified drugs |
3,387 |
1,517 |
$3K |
| 86706 |
|
453 |
450 |
$3K |
| 85046 |
|
782 |
746 |
$3K |
| G9001 |
Coordinated care fee, initial rate |
69 |
69 |
$3K |
| 38222 |
|
38 |
38 |
$3K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
1,094 |
552 |
$3K |
| 85730 |
|
629 |
576 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
64 |
54 |
$3K |
| 84100 |
|
859 |
593 |
$2K |
| J9181 |
Injection, etoposide, 10 mg |
244 |
72 |
$2K |
| 84439 |
|
347 |
309 |
$2K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,646 |
791 |
$2K |
| 81000 |
|
667 |
545 |
$2K |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,493 |
760 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
150 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,432 |
1,252 |
$2K |
| 84550 |
|
495 |
368 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
74 |
48 |
$1K |
| G9002 |
Coordinated care fee, maintenance rate |
60 |
58 |
$1K |
| 36593 |
|
85 |
80 |
$1K |
| 84703 |
|
200 |
149 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
157 |
121 |
$1K |
| 85651 |
|
223 |
221 |
$721.86 |
| 84156 |
|
359 |
298 |
$636.49 |
| G0498 |
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion |
138 |
48 |
$582.38 |
| 99442 |
|
45 |
44 |
$530.94 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
60 |
60 |
$423.62 |
| 82565 |
|
107 |
105 |
$352.58 |
| 99441 |
|
40 |
40 |
$266.89 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
125 |
67 |
$251.02 |
| J2060 |
Injection, lorazepam, 2 mg |
462 |
274 |
$248.98 |
| 83883 |
|
415 |
210 |
$233.68 |
| 86140 |
|
41 |
38 |
$173.51 |
| 86301 |
|
14 |
13 |
$159.95 |
| 83010 |
|
13 |
13 |
$116.10 |
| 82550 |
|
24 |
24 |
$109.24 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
46 |
26 |
$48.34 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
17 |
12 |
$47.70 |
| S0028 |
Injection, famotidine, 20 mg |
41 |
13 |
$0.84 |