| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9035 |
Bevacizumab injection |
215 |
121 |
$960K |
| J9271 |
Inj pembrolizumab |
16 |
13 |
$174K |
| J9263 |
Oxaliplatin |
88 |
44 |
$107K |
| J9355 |
Inj trastuzumab excl biosimi |
24 |
14 |
$96K |
| J9070 |
Cyclophosphamide 100 mg inj |
104 |
64 |
$74K |
| J0640 |
Leucovorin calcium injection |
602 |
317 |
$47K |
| J9190 |
Fluorouracil injection |
790 |
361 |
$14K |
| J2916 |
Na ferric gluconate complex |
73 |
70 |
$9K |
| J9267 |
Paclitaxel injection |
123 |
69 |
$9K |
| J2405 |
Ondansetron hcl injection |
2,494 |
1,837 |
$6K |
| J3489 |
Zoledronic acid 1mg |
75 |
62 |
$5K |
| J9045 |
Carboplatin injection |
78 |
61 |
$3K |
| J9000 |
Doxorubicin hcl injection |
70 |
38 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
289 |
229 |
$347.49 |
| J1100 |
Dexamethasone sodium phos |
198 |
160 |
$220.68 |
| S0028 |
Injection, famotidine, 20 mg |
92 |
71 |
$34.80 |