| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
15,773 |
7,629 |
$1.34M |
| 87389 |
|
17,525 |
16,299 |
$368K |
| J9035 |
Bevacizumab injection |
206 |
26 |
$357K |
| 87536 |
|
7,699 |
7,035 |
$271K |
| 77067 |
|
2,983 |
2,887 |
$188K |
| J9271 |
Inj pembrolizumab |
36 |
12 |
$181K |
| 86480 |
|
4,114 |
3,854 |
$155K |
| 97161 |
|
3,096 |
1,747 |
$150K |
| 97162 |
|
1,890 |
1,082 |
$106K |
| 80053 |
|
32,893 |
30,277 |
$92K |
| 96413 |
|
6,381 |
2,404 |
$86K |
| 84443 |
|
19,275 |
17,669 |
$82K |
| 86631 |
|
17,028 |
15,416 |
$66K |
| 80048 |
|
26,904 |
21,475 |
$60K |
| 93005 |
|
5,220 |
4,814 |
$53K |
| J0640 |
Leucovorin calcium injection |
1,339 |
176 |
$48K |
| 80306 |
|
8,539 |
6,416 |
$47K |
| 87522 |
Neg quan hep c or qual rna |
1,956 |
1,828 |
$46K |
| 88305 |
|
1,411 |
1,325 |
$46K |
| 86780 |
|
13,375 |
12,217 |
$40K |
| 88175 |
|
4,783 |
4,613 |
$40K |
| 83655 |
|
4,337 |
3,917 |
$40K |
| 82652 |
|
6,458 |
6,012 |
$37K |
| Q5102 |
Inj., infliximab biosimilar |
31 |
12 |
$37K |
| 77066 |
Tomosynthesis, mammo |
478 |
464 |
$37K |
| 83036 |
|
31,461 |
29,938 |
$36K |
| 87635 |
|
1,324 |
1,121 |
$34K |
| 85025 |
|
36,132 |
32,597 |
$34K |
| 92557 |
|
875 |
796 |
$32K |
| 96411 |
|
1,421 |
454 |
$32K |
| 96375 |
|
2,496 |
743 |
$32K |
| 82274 |
|
5,437 |
5,298 |
$27K |
| 87086 |
|
7,923 |
7,239 |
$23K |
| 96415 |
|
2,193 |
771 |
$23K |
| 87661 |
|
2,657 |
2,445 |
$22K |
| 84439 |
|
11,605 |
10,549 |
$22K |
| 80061 |
|
27,790 |
25,940 |
$22K |
| 96417 |
|
1,747 |
693 |
$21K |
| 71046 |
|
2,107 |
1,996 |
$21K |
| 90792 |
|
188 |
110 |
$21K |
| 90747 |
|
164 |
55 |
$19K |
| 77065 |
Tomosynthesis, mammo |
330 |
322 |
$19K |
| 90837 |
|
277 |
121 |
$18K |
| 96920 |
|
275 |
83 |
$18K |
| 85027 |
|
20,075 |
15,468 |
$18K |
| 73610 |
|
1,282 |
1,143 |
$17K |
| 90834 |
|
389 |
204 |
$17K |
| 88304 |
|
789 |
756 |
$16K |
| 86803 |
|
4,802 |
4,468 |
$15K |
| 80076 |
|
13,526 |
9,236 |
$15K |
| J9045 |
Carboplatin injection |
647 |
283 |
$15K |
| 87631 |
|
286 |
255 |
$14K |
| 84403 |
|
651 |
576 |
$14K |
| 85610 |
|
10,346 |
8,291 |
$14K |
| 86141 |
|
2,451 |
2,220 |
$14K |
| J9263 |
Oxaliplatin |
733 |
62 |
$13K |
| 84153 |
|
3,263 |
3,031 |
$13K |
| 87516 |
|
341 |
321 |
$13K |
| J9190 |
Fluorouracil injection |
1,334 |
268 |
$13K |
| 86360 |
|
7,090 |
6,414 |
$13K |
| 83970 |
|
1,062 |
975 |
$13K |
| 92567 |
|
993 |
905 |
$12K |
| 90630 |
|
1,318 |
392 |
$12K |
| 83615 |
|
14,984 |
10,502 |
$11K |
| 91200 |
|
797 |
771 |
$11K |
| 90674 |
|
1,331 |
432 |
$11K |
| 96416 |
|
1,110 |
247 |
$11K |
| 90791 |
|
92 |
61 |
$10K |
| 87798 |
|
333 |
314 |
$9K |
| 73630 |
|
957 |
869 |
$9K |
| 73562 |
|
919 |
836 |
$8K |
| J9267 |
Paclitaxel injection |
325 |
138 |
$8K |
| 73030 |
|
843 |
777 |
$8K |
| 82948 |
|
10,276 |
9,069 |
$8K |
| 73502 |
|
482 |
439 |
$7K |
| 73130 |
|
842 |
699 |
$7K |
| T1015 |
Clinic service |
93 |
57 |
$7K |
| 84702 |
|
2,560 |
1,749 |
$7K |
| 87340 |
|
3,891 |
3,615 |
$6K |
| 73565 |
|
385 |
361 |
$6K |
| 73110 |
|
611 |
507 |
$6K |
| 96368 |
|
463 |
94 |
$6K |
| 78454 |
|
14 |
12 |
$6K |
| 82607 |
|
2,477 |
2,327 |
$6K |
| 97165 |
|
1,045 |
658 |
$5K |
| 81001 |
|
12,819 |
11,524 |
$5K |
| 86336 |
|
453 |
440 |
$5K |
| 73590 |
|
580 |
474 |
$5K |
| 88342 |
|
503 |
442 |
$5K |
| 86003 |
|
2,977 |
577 |
$5K |
| 83550 |
|
2,801 |
2,598 |
$5K |
| 86235 |
|
1,079 |
958 |
$5K |
| 72100 |
|
396 |
384 |
$5K |
| 82043 |
|
8,776 |
8,280 |
$4K |
| 82105 |
|
886 |
843 |
$4K |
| 82533 |
|
1,245 |
800 |
$4K |
| 73560 |
|
412 |
377 |
$4K |
| 96372 |
|
487 |
307 |
$3K |
| 90471 |
|
3,931 |
1,081 |
$3K |
| 72040 |
|
329 |
318 |
$3K |
| 83735 |
|
3,053 |
2,233 |
$3K |
| 82306 |
|
2,117 |
1,919 |
$3K |
| 74246 |
|
122 |
118 |
$3K |
| 82378 |
|
735 |
558 |
$3K |
| 85730 |
|
3,532 |
3,251 |
$3K |
| 92568 |
|
225 |
207 |
$3K |
| J9060 |
Cisplatin 10 mg injection |
119 |
26 |
$3K |
| 86705 |
|
1,498 |
1,389 |
$3K |
| 87449 |
|
381 |
365 |
$3K |
| 96152 |
|
46 |
26 |
$3K |
| 86592 |
|
1,733 |
1,584 |
$3K |
| 82728 |
|
2,519 |
2,333 |
$3K |
| 84550 |
|
3,823 |
2,910 |
$3K |
| 96409 |
|
61 |
25 |
$2K |
| 84165 |
|
662 |
603 |
$2K |
| 83020 |
|
1,422 |
1,366 |
$2K |
| 86403 |
|
2,382 |
2,115 |
$2K |
| 90732 |
|
62 |
17 |
$2K |
| 92507 |
|
211 |
136 |
$2K |
| 73620 |
|
332 |
284 |
$2K |
| 83880 |
|
521 |
481 |
$2K |
| J9171 |
Docetaxel injection |
16 |
12 |
$2K |
| 73120 |
|
359 |
328 |
$2K |
| 88312 |
|
421 |
388 |
$2K |
| 87651 |
|
243 |
229 |
$2K |
| 87181 |
|
1,386 |
1,288 |
$2K |
| 97166 |
|
325 |
211 |
$2K |
| 73080 |
|
210 |
189 |
$2K |
| 86762 |
|
1,874 |
1,726 |
$2K |
| 87253 |
|
275 |
263 |
$2K |
| 83883 |
|
237 |
214 |
$2K |
| 85651 |
|
2,545 |
2,311 |
$2K |
| 86316 |
|
472 |
393 |
$2K |
| 96365 |
|
172 |
41 |
$2K |
| 84460 |
|
2,725 |
2,559 |
$2K |
| 86334 |
|
131 |
118 |
$2K |
| 82746 |
|
1,078 |
1,006 |
$2K |
| 96361 |
|
120 |
38 |
$2K |
| 81025 |
|
2,010 |
1,796 |
$2K |
| 84154 |
|
166 |
153 |
$2K |
| 87081 |
|
1,097 |
997 |
$1K |
| 86361 |
|
396 |
380 |
$1K |
| 73552 |
|
148 |
123 |
$1K |
| 87070 |
|
701 |
659 |
$1K |
| 84450 |
|
2,666 |
2,502 |
$1K |
| J2405 |
Ondansetron hcl injection |
429 |
168 |
$1K |
| 90472 |
|
375 |
124 |
$1K |
| 84270 |
|
298 |
265 |
$1K |
| 82677 |
|
445 |
433 |
$1K |
| 84481 |
|
501 |
466 |
$1K |
| 82570 |
|
1,275 |
1,150 |
$1K |
| 86256 |
|
176 |
168 |
$1K |
| 86161 |
|
371 |
286 |
$1K |
| 73522 |
|
60 |
60 |
$1K |
| 86850 |
|
933 |
839 |
$1K |
| 82947 |
|
1,323 |
1,242 |
$1K |
| 96366 |
|
138 |
39 |
$1K |
| 84100 |
|
1,725 |
1,576 |
$998.72 |
| 86787 |
|
198 |
185 |
$979.80 |
| 96900 |
|
157 |
33 |
$905.40 |
| 86735 |
|
212 |
195 |
$860.21 |
| 82088 |
|
30 |
27 |
$855.13 |
| 85009 |
|
3,781 |
3,049 |
$845.22 |
| J1200 |
Diphenhydramine hcl injectio |
236 |
90 |
$843.38 |
| 82565 |
|
1,088 |
1,016 |
$842.49 |
| 83516 |
|
70 |
68 |
$832.11 |
| 84156 |
|
2,313 |
2,054 |
$713.53 |
| 82785 |
|
358 |
324 |
$703.40 |
| 82465 |
|
1,918 |
1,361 |
$665.07 |
| J9201 |
In gemcitabine hcl nos 200mg |
37 |
12 |
$662.57 |
| J1100 |
Dexamethasone sodium phos |
227 |
111 |
$638.69 |
| 86430 |
|
693 |
633 |
$632.28 |
| 86901 |
|
934 |
840 |
$591.74 |
| 90715 |
|
54 |
17 |
$542.85 |
| 87625 |
|
57 |
44 |
$531.67 |
| 82390 |
|
103 |
95 |
$505.59 |
| 88313 |
|
251 |
237 |
$490.78 |
| 86765 |
|
290 |
270 |
$484.90 |
| 84146 |
|
156 |
142 |
$478.67 |
| 99211 |
|
45 |
32 |
$475.55 |
| 80047 |
|
126 |
107 |
$460.85 |
| 82550 |
|
478 |
435 |
$460.33 |
| 86039 |
|
203 |
177 |
$442.61 |
| 72110 |
|
27 |
24 |
$426.16 |
| 81003 |
|
736 |
596 |
$418.92 |
| 73060 |
|
65 |
56 |
$417.60 |
| 82670 |
|
182 |
154 |
$414.88 |
| 86900 |
|
933 |
839 |
$402.00 |
| 87205 |
|
637 |
603 |
$401.11 |
| 81002 |
|
643 |
527 |
$387.49 |
| 88173 |
|
27 |
26 |
$368.50 |
| 85018 |
|
1,101 |
892 |
$362.54 |
| 83921 |
|
35 |
30 |
$339.55 |
| 82040 |
|
452 |
401 |
$314.53 |
| 84520 |
|
730 |
697 |
$313.90 |
| 87510 |
|
21 |
15 |
$305.88 |
| 87480 |
|
21 |
15 |
$305.88 |
| 84445 |
|
12 |
12 |
$289.26 |
| 90686 |
|
47 |
16 |
$280.52 |
| 82951 |
|
49 |
43 |
$260.35 |
| 85014 |
|
634 |
574 |
$250.62 |
| 83690 |
|
215 |
196 |
$220.26 |
| 87341 |
|
95 |
83 |
$205.65 |
| 73090 |
|
26 |
25 |
$188.65 |
| 72170 |
|
30 |
26 |
$185.46 |
| 87660 |
|
21 |
15 |
$180.86 |
| 84244 |
|
27 |
25 |
$167.52 |
| 87324 |
|
31 |
29 |
$160.65 |
| 84480 |
|
108 |
101 |
$159.12 |
| 86255 |
|
41 |
36 |
$133.53 |
| 92134 |
|
15 |
15 |
$131.94 |
| 74018 |
|
13 |
13 |
$130.96 |
| 85045 |
|
454 |
410 |
$130.66 |
| 82247 |
|
61 |
50 |
$124.94 |
| 86702 |
|
57 |
54 |
$119.88 |
| 85660 |
|
114 |
92 |
$100.18 |
| 82103 |
|
28 |
26 |
$95.06 |
| 83013 |
|
19 |
19 |
$67.64 |
| 87046 |
|
87 |
81 |
$57.54 |
| 82150 |
|
52 |
41 |
$55.89 |
| 82955 |
|
13 |
13 |
$50.34 |
| 86709 |
|
132 |
129 |
$40.57 |
| 80185 |
|
12 |
12 |
$38.04 |
| 83037 |
|
102 |
25 |
$36.02 |
| 82248 |
|
36 |
27 |
$28.40 |
| 82310 |
|
14 |
13 |
$18.12 |
| 83525 |
|
26 |
25 |
$17.36 |
| 84300 |
|
15 |
14 |
$16.50 |
| 85384 |
|
14 |
14 |
$10.31 |
| 86021 |
|
14 |
12 |
$6.12 |
| J7050 |
Normal saline solution infus |
92 |
48 |
$2.45 |
| J7040 |
Normal saline solution infus |
77 |
27 |
$0.99 |
| J7060 |
5% dextrose/water |
29 |
15 |
$0.00 |
| Q0162 |
Ondansetron oral |
16 |
12 |
$0.00 |
| 80050 |
|
13 |
13 |
$0.00 |
| 80361 |
|
731 |
593 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
311 |
249 |
$0.00 |
| J7030 |
Normal saline solution infus |
55 |
18 |
$0.00 |