| CPT |
Description |
Number of Claims |
Sum Performed |
|
96365
|
THER/PROPH/DIAG IV INF INIT |
300
|
300
|
|
96366
|
THER/PROPH/DIAG IV INF ADDON |
243
|
541
|
|
J1459
|
INJ IVIG PRIVIGEN 500 MG |
180
|
8,920
|
|
J1561
|
GAMUNEX-C/GAMMAKED |
116
|
5,660
|
|
J1569
|
GAMMAGARD LIQUID INJECTION |
87
|
3,540
|
|
82784
|
ASSAY IGA/IGD/IGG/IGM EACH |
85
|
130
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
74
|
76
|
|
80053
|
COMPREHEN METABOLIC PANEL |
72
|
72
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
68
|
68
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
64
|
64
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
46
|
46
|
|
J7060
|
5% DEXTROSE/WATER |
44
|
52
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
39
|
150
|
|
J2405
|
ONDANSETRON HCL INJECTION |
31
|
124
|
|
Q0163
|
DIPHENHYDRAMINE HCL 50MG |
31
|
31
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
30
|
1,180
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
24
|
24
|
|
96367
|
TX/PROPH/DG ADDL SEQ IV INF |
22
|
25
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
17
|
18
|
|
86334
|
IMMUNOFIX E-PHORESIS SERUM |
17
|
17
|
