| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Injection, pembrolizumab, 1 mg |
246 |
183 |
$1.41M |
| J9299 |
Injection, nivolumab, 1 mg |
167 |
94 |
$739K |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
491 |
235 |
$472K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,582 |
2,209 |
$383K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,806 |
1,576 |
$212K |
| Q5126 |
Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg |
134 |
69 |
$203K |
| J9312 |
Injection, rituximab, 10 mg |
62 |
24 |
$193K |
| 99215 |
Prolong outpt/office vis |
929 |
876 |
$95K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,523 |
3,221 |
$91K |
| Q5119 |
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg |
91 |
50 |
$72K |
| 96367 |
|
2,415 |
1,016 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
967 |
$52K |
| 96415 |
|
1,401 |
693 |
$47K |
| 96417 |
|
1,683 |
911 |
$44K |
| 99205 |
Prolong outpt/office vis |
271 |
270 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
615 |
567 |
$30K |
| 96368 |
|
1,924 |
783 |
$24K |
| J1750 |
Injection, iron dextran, 50 mg |
299 |
143 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
6,782 |
2,882 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
52 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
461 |
251 |
$5K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
3,613 |
1,540 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
911 |
351 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
868 |
343 |
$632.21 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
228 |
121 |
$152.78 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
24 |
15 |
$122.37 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
137 |
92 |
$74.83 |