| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
69 |
66 |
$11K |
| 86481 |
|
87 |
84 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$2K |
| 80076 |
|
156 |
136 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
40 |
$2K |
| 84450 |
|
28 |
27 |
$285.92 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
76 |
74 |
$29.14 |