| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
35 |
12 |
$3K |
| J0248 |
Injection, remdesivir, 1 mg |
36 |
12 |
$3K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
15 |
15 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
18 |
18 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
24 |
12 |
$0.00 |