| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,524 |
1,387 |
$89K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
50 |
49 |
$20K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
47 |
47 |
$18K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
48 |
48 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
52 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$133.45 |