CMS RBCS · Treatments · Injections and Infusions (nononcologic)
Injection - Monoclonal Antibodies codes
50 CPT®/HCPCS
codes, ranked by est. all-Medicare
services — scaled from national Medicare Part B fee-for-service volume. Open any code for the full market view —
ranked physician groups, geography, and 12-year trend.
CY2024 · National scale is an all-Medicare estimate · est. — scaled estimate — assumes MA utilization mirrors FFS; not an observation; the observed fee-for-service figure is shown adjacent. Part B · national figures
HCPCS · TreatmentJ0897Injection, denosumab, 1 mgCMS descriptor · HCPCS Medicare Part B claims
First observed2013 — start of our 12-year window; the code predates it
HCPCS · TreatmentM0247Intravenous infusion, sotrovimab, includes infusion and post administration monitoringCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentM0239Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoringCMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
HCPCS · TreatmentM0243Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoringCMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
HCPCS · TreatmentM0248Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergencyCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
National scale2,705 services · est. · 1,487 FFS beneficiary-episodes (CY2022, all-Medicare estimate)— 1,491 observed fee-for-service services
HCPCS · TreatmentM0245Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoringCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentM0244Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital duriCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentM0221Injection, 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 compromiseCMS descriptor · HCPCS Medicare Part B claims
First observed2022 — first year this code appears in Part B claims
National scale1,718 services · est. · 893 FFS beneficiary-episodes (CY2022, all-Medicare estimate)— 992 observed fee-for-service services
HCPCS · TreatmentM0220Injection, 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 compromiseCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentM0246Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergenCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
National scale317 services · est. · 171 FFS beneficiary-episodes (CY2022, all-Medicare estimate)— 172 observed fee-for-service services
HCPCS · TreatmentM0240Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat dosesCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentM0241Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital duriCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
National scale103 services · est. · 56 FFS beneficiary-episodes (CY2022, all-Medicare estimate)— 56 observed fee-for-service services
HCPCS · TreatmentQ0220Injection, 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 compromiseCMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · TreatmentQ0221Injection, 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 compromiseCMS descriptor · HCPCS Medicare Part B claims
First observed2022 — first year this code appears in Part B claims
National scale31 services · est. · 16 FFS beneficiary-episodes (CY2023, all-Medicare estimate)— 16 observed fee-for-service services
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