HCPCS Code Q0220 · Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg

#	Provider	Location	Claims	Total Paid
1	HMH HOSPITALS CORPORATION	HACKENSACK, NJ	14	$6.00
2	COOPERMAN BARNABAS MEDICAL CENTER INC	LIVINGSTON, NJ	52	$4.00
3	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC	NEW BRUNSWICK, NJ	32	$3.00
4	MULTICARE HEALTH SYSTEM	TACOMA, WA	83	$0.28
5	FRED HUTCHINSON CANCER CENTER	SEATTLE, WA	15	$0.09
6	BETH ISRAEL DEACONESS MEDICAL CENTER, INC.	BOSTON, MA	123	$0.02
7	BOSTON MEDICAL CENTER CORPORATION	BOSTON, MA	192	$0.01
8	UNIVERSITY OF KENTUCKY	LEXINGTON, KY	137	$0.00
9	DANA-FARBER CANCER INSTITUTE, INC.	BOSTON, MA	16	$0.00
10	TUFTS MEDICAL CENTER, INC.	BOSTON, MA	38	$0.00
11	BAYSTATE MEDICAL CENTER INC	SPRINGFIELD, MA	37	$0.00
12	OCHSNER CLINIC FOUNDATION	NEW ORLEANS, LA	26	$0.00
13	BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC	TUCSON, AZ	16	$0.00
14	MAINEHEALTH	PORTLAND, ME	13	$0.00
15	STAMFORD HOSPITAL	STAMFORD, CT	21	$0.00
16	BRIGHAM & WOMENS HOSPITAL, INC.	BOSTON, MA	18	$0.00
17	HENRY FORD HEALTH SYSTEM	DETROIT, MI	15	$0.00

Medicaid Provider Spending