| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
|
3,081 |
2,378 |
$3.43M |
| 99214 |
|
54,841 |
51,331 |
$3.12M |
| J0897 |
Denosumab injection |
776 |
755 |
$1.11M |
| 99233 |
Prolong inpt eval add15 m |
12,214 |
4,464 |
$982K |
| 77014 |
|
8,746 |
1,666 |
$799K |
| 99215 |
Prolong outpt/office vis |
8,836 |
7,618 |
$781K |
| J1453 |
Fosaprepitant injection |
1,811 |
1,193 |
$776K |
| 99213 |
|
16,709 |
16,242 |
$714K |
| J9271 |
Inj pembrolizumab |
160 |
124 |
$655K |
| 96413 |
|
10,390 |
6,472 |
$572K |
| J0885 |
Epoetin alfa, non-esrd |
1,880 |
1,057 |
$401K |
| 99223 |
Prolong inpt eval add15 m |
2,752 |
2,693 |
$384K |
| 74177 |
|
2,097 |
1,613 |
$321K |
| G6015 |
Radiation tx delivery imrt |
1,116 |
244 |
$302K |
| 99205 |
Prolong outpt/office vis |
2,814 |
2,808 |
$273K |
| 99232 |
|
4,897 |
2,218 |
$273K |
| 99204 |
|
4,113 |
4,102 |
$268K |
| A9552 |
F18 fdg |
1,907 |
1,871 |
$231K |
| J2469 |
Palonosetron hcl |
4,408 |
2,601 |
$201K |
| 96367 |
|
8,098 |
4,861 |
$177K |
| 71260 |
|
2,122 |
1,641 |
$175K |
| 85025 |
|
28,994 |
20,642 |
$169K |
| 99203 |
|
1,856 |
1,856 |
$165K |
| 77427 |
|
958 |
527 |
$134K |
| 77336 |
|
1,592 |
881 |
$132K |
| 96372 |
|
18,781 |
12,685 |
$123K |
| J1100 |
Dexamethasone sodium phos |
6,339 |
3,365 |
$120K |
| 77334 |
|
540 |
325 |
$108K |
| Q0138 |
Ferumoxytol, non-esrd |
64 |
41 |
$105K |
| 77280 |
|
341 |
233 |
$72K |
| 77300 |
|
599 |
305 |
$69K |
| J0641 |
Inj levoleucovorin nos 0.5mg |
23 |
13 |
$58K |
| J1437 |
Inj. fe derisomaltose 10 mg |
26 |
26 |
$52K |
| 77049 |
|
262 |
141 |
$51K |
| 96365 |
|
1,739 |
1,312 |
$48K |
| Q5106 |
Inj retacrit non-esrd use |
217 |
113 |
$47K |
| G6012 |
Radiation treatment delivery |
181 |
39 |
$42K |
| 93306 |
|
508 |
508 |
$35K |
| J0881 |
Darbepoetin alfa, non-esrd |
119 |
84 |
$30K |
| 96368 |
|
4,213 |
2,622 |
$30K |
| 96417 |
|
1,310 |
903 |
$30K |
| 99497 |
|
470 |
465 |
$30K |
| G6013 |
Radiation treatment delivery |
137 |
39 |
$24K |
| 31231 |
|
106 |
101 |
$23K |
| J0185 |
Inj., aprepitant, 1 mg |
37 |
26 |
$22K |
| 76642 |
|
264 |
190 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,023 |
1,988 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
3,630 |
2,139 |
$10K |
| 99231 |
|
257 |
125 |
$10K |
| 96523 |
|
862 |
694 |
$10K |
| 31575 |
|
66 |
66 |
$9K |
| 80053 |
|
920 |
747 |
$7K |
| 95251 |
|
708 |
706 |
$6K |
| A9585 |
Gadobutrol injection |
652 |
581 |
$5K |
| 83036 |
|
961 |
954 |
$4K |
| 96415 |
|
164 |
119 |
$4K |
| 99443 |
|
145 |
134 |
$4K |
| 99212 |
|
205 |
194 |
$4K |
| 96361 |
|
381 |
239 |
$4K |
| 82728 |
|
150 |
144 |
$2K |
| 99395 |
|
14 |
14 |
$2K |
| 93000 |
|
125 |
119 |
$2K |
| J9190 |
Fluorouracil injection |
48 |
25 |
$2K |
| 96411 |
|
39 |
24 |
$2K |
| 47562 |
|
12 |
12 |
$2K |
| 83615 |
|
305 |
253 |
$1K |
| 77263 |
|
16 |
14 |
$1K |
| 99396 |
|
18 |
16 |
$1K |
| 71250 |
|
43 |
38 |
$1K |
| 69210 |
|
26 |
26 |
$1K |
| 84550 |
|
270 |
224 |
$961.56 |
| J3489 |
Zoledronic acid 1mg |
25 |
25 |
$910.33 |
| J2405 |
Ondansetron hcl injection |
361 |
218 |
$848.22 |
| 92552 |
|
52 |
47 |
$839.01 |
| 99354 |
|
12 |
12 |
$596.64 |
| 85018 |
|
450 |
273 |
$506.48 |
| 82948 |
|
308 |
304 |
$342.77 |
| 83540 |
|
43 |
43 |
$298.34 |
| 83735 |
|
31 |
29 |
$202.77 |
| G2211 |
Complex e/m visit add on |
35 |
35 |
$142.96 |
| J3420 |
Vitamin b12 injection |
28 |
25 |
$125.86 |
| 96375 |
|
18 |
13 |
$117.95 |
| J3490 |
Drugs unclassified injection |
88 |
52 |
$109.75 |
| 90471 |
|
12 |
12 |
$73.59 |
| 81000 |
|
15 |
15 |
$58.05 |
| 96402 |
|
12 |
12 |
$48.98 |
| 36415 |
|
501 |
386 |
$39.60 |