| CPT |
Description |
Number of Claims |
Sum Performed |
|
96365
|
THER/PROPH/DIAG IV INF INIT |
775
|
775
|
|
96366
|
THER/PROPH/DIAG IV INF ADDON |
698
|
1,311
|
|
82784
|
ASSAY IGA/IGD/IGG/IGM EACH |
529
|
989
|
|
J1561
|
GAMUNEX-C/GAMMAKED |
419
|
19,038
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
413
|
413
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
398
|
402
|
|
80053
|
COMPREHEN METABOLIC PANEL |
328
|
328
|
|
J1459
|
INJ IVIG PRIVIGEN 500 MG |
315
|
11,940
|
|
J1569
|
GAMMAGARD LIQUID INJECTION |
298
|
15,085
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
235
|
332
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
183
|
195
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
158
|
158
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
146
|
309
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
117
|
4,891
|
|
86317
|
IMMUNOASSAY INFECTIOUS AGENT |
112
|
796
|
|
J7050
|
NORMAL SALINE SOLUTION INFUS |
86
|
87
|
|
J1568
|
OCTAGAM INJECTION |
83
|
3,680
|
|
96361
|
HYDRATE IV INFUSION ADD-ON |
68
|
76
|
|
83615
|
LACTATE (LD) (LDH) ENZYME |
60
|
60
|
|
82787
|
IGG 1 2 3 OR 4 EACH |
60
|
188
|
