| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1447 |
Inj tbo filgrastim 1 microg |
14,944 |
1,547 |
$39.00M |
| J1642 |
Inj heparin sodium per 10 u |
2,720 |
1,490 |
$665K |
| J9271 |
Inj pembrolizumab |
44 |
36 |
$595K |
| J2405 |
Ondansetron hcl injection |
5,988 |
2,811 |
$470K |
| J1100 |
Dexamethasone sodium phos |
4,662 |
2,301 |
$463K |
| 96372 |
|
17,791 |
2,315 |
$389K |
| 96365 |
|
4,495 |
2,115 |
$311K |
| 99211 |
|
17,257 |
2,907 |
$264K |
| 96367 |
|
3,986 |
1,999 |
$259K |
| 99214 |
|
5,090 |
4,773 |
$224K |
| 99213 |
|
6,121 |
5,327 |
$169K |
| 96375 |
|
2,762 |
1,368 |
$152K |
| 96374 |
|
2,584 |
1,156 |
$144K |
| 96413 |
|
2,804 |
1,674 |
$105K |
| J7050 |
Normal saline solution infus |
5,692 |
2,485 |
$100K |
| 96417 |
|
1,106 |
775 |
$53K |
| 77014 |
|
707 |
54 |
$46K |
| 96360 |
|
839 |
432 |
$45K |
| 99205 |
Prolong outpt/office vis |
465 |
463 |
$45K |
| J2780 |
Ranitidine hydrochloride inj |
1,760 |
726 |
$39K |
| 99215 |
Prolong outpt/office vis |
409 |
389 |
$31K |
| 96523 |
|
1,055 |
785 |
$28K |
| 77334 |
|
247 |
100 |
$24K |
| 99204 |
|
248 |
248 |
$23K |
| 77336 |
|
366 |
162 |
$21K |
| J0897 |
Denosumab injection |
12 |
12 |
$21K |
| 77301 |
|
24 |
12 |
$15K |
| J2916 |
Na ferric gluconate complex |
197 |
81 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
1,994 |
1,249 |
$12K |
| 77427 |
|
80 |
36 |
$10K |
| 77290 |
|
109 |
51 |
$9K |
| 99203 |
|
101 |
101 |
$8K |
| 36000 |
|
254 |
141 |
$8K |
| 77263 |
|
31 |
24 |
$8K |
| 77300 |
|
109 |
50 |
$6K |
| 99212 |
|
228 |
220 |
$6K |
| 77338 |
|
24 |
12 |
$5K |
| S0164 |
Injection pantroprazole |
428 |
294 |
$5K |
| J0640 |
Leucovorin calcium injection |
54 |
24 |
$5K |
| 96415 |
|
114 |
95 |
$4K |
| J9190 |
Fluorouracil injection |
67 |
26 |
$3K |
| 96411 |
|
82 |
53 |
$2K |
| A4215 |
Sterile needle |
107 |
56 |
$2K |
| 99222 |
|
26 |
26 |
$2K |
| 96416 |
|
22 |
12 |
$1K |
| J7040 |
Normal saline solution infus |
66 |
41 |
$422.39 |
| J2920 |
Methylprednisolone injection |
37 |
24 |
$410.13 |
| Q0166 |
Granisetron hcl 1 mg oral |
36 |
23 |
$151.56 |
| A4927 |
Non-sterile gloves |
63 |
18 |
$3.86 |