| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 17 | 100 | 2,830 | $80 | $3.8M |
| J9271 | Injection, pembrolizumab, 1 mg | 1 | 10 | 270 | $3,820 | $2.9M |
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 17 | 110 | 5,950 | $270 | $2.6M |
| J9299 | Injection, nivolumab, 1 mg | 1 | 10 | 1,260 | $1,790 | $2.2M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 16 | 30 | 660 | $100 | $1.5M |
| 77412 | The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron… | 3 | 10 | 1,470 | $400 | $1.2M |
| J9263 | Injection, oxaliplatin, 0.5 mg | 1 | 10 | 1,910 | $670 | $1.2M |
| 77523 | This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is… | 1 | 10 | 960 | $1,290 | $1.2M |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 1 | 10 | 1,000 | $1,030 | $1.1M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 35 | 140 | 2,830 | $150 | $1.1M |