| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
|
5,543 |
4,932 |
$1.07M |
| J0490 |
Belimumab injection |
514 |
411 |
$689K |
| J1602 |
Golimumab for iv use 1mg |
900 |
885 |
$567K |
| 99214 |
|
36,445 |
33,235 |
$524K |
| J3262 |
Tocilizumab injection |
454 |
387 |
$487K |
| 96413 |
|
2,832 |
2,436 |
$448K |
| J7050 |
Normal saline solution infus |
1,757 |
1,448 |
$291K |
| 96372 |
|
5,333 |
4,063 |
$245K |
| J1745 |
Infliximab not biosimil 10mg |
904 |
852 |
$164K |
| J0129 |
Abatacept injection |
163 |
143 |
$132K |
| 96415 |
|
2,778 |
2,391 |
$105K |
| 99204 |
|
4,737 |
4,698 |
$79K |
| Q5121 |
Inj. avsola, 10 mg |
184 |
169 |
$57K |
| 96375 |
|
1,272 |
973 |
$54K |
| J1885 |
Ketorolac tromethamine inj |
1,823 |
1,669 |
$33K |
| J0717 |
Certolizumab pegol inj 1mg |
54 |
52 |
$16K |
| J1040 |
Methylprednisolone 80 mg inj |
1,240 |
1,147 |
$15K |
| 99213 |
|
661 |
619 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
839 |
651 |
$11K |
| Q5104 |
Injection, renflexis |
14 |
13 |
$8K |
| J1010 |
Inj, methylpred acetate 1 mg |
114 |
113 |
$793.62 |
| 96366 |
|
219 |
181 |
$659.10 |
| J2930 |
Methylprednisolone injection |
322 |
231 |
$647.93 |
| J2919 |
Inj, methylpred sod succ 5mg |
162 |
106 |
$286.81 |
| 36415 |
|
15 |
13 |
$0.00 |