| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0135 |
Adalimumab injection |
2,037 |
1,862 |
$3.76M |
| J1438 |
Etanercept injection |
1,599 |
1,469 |
$2.51M |
| J3490 |
Drugs unclassified injection |
4,072 |
3,830 |
$1.58M |
| J3590 |
Unclassified biologics |
1,202 |
1,123 |
$1.46M |
| J1726 |
Makena, 10 mg |
627 |
438 |
$337K |
| J0897 |
Denosumab injection |
266 |
264 |
$180K |
| J1200 |
Diphenhydramine hcl injectio |
648 |
552 |
$111K |
| J2941 |
Somatropin injection |
326 |
300 |
$89K |
| J1100 |
Dexamethasone sodium phos |
756 |
646 |
$67K |
| J9035 |
Bevacizumab injection |
20 |
14 |
$57K |
| J2469 |
Palonosetron hcl |
395 |
323 |
$35K |
| S0028 |
Injection, famotidine, 20 mg |
555 |
447 |
$32K |
| J2357 |
Omalizumab injection |
29 |
25 |
$32K |
| J0585 |
Injection,onabotulinumtoxina |
121 |
121 |
$18K |
| J3475 |
Inj magnesium sulfate |
171 |
129 |
$6K |
| 90715 |
|
223 |
223 |
$4K |
| J2405 |
Ondansetron hcl injection |
252 |
204 |
$2K |
| 90750 |
|
29 |
29 |
$826.56 |
| J1071 |
Inj testosterone cypionate |
13 |
12 |
$359.82 |
| J9171 |
Docetaxel injection |
13 |
12 |
$142.23 |
| J7040 |
Normal saline solution infus |
15 |
12 |
$2.82 |
| 90707 |
|
13 |
13 |
$0.00 |