| CPT |
Description |
Number of Claims |
Sum Performed |
|
96365
|
THER/PROPH/DIAG IV INF INIT |
684
|
684
|
|
96366
|
THER/PROPH/DIAG IV INF ADDON |
616
|
1,475
|
|
J1561
|
GAMUNEX-C/GAMMAKED |
476
|
23,031
|
|
J1459
|
INJ IVIG PRIVIGEN 500 MG |
284
|
11,614
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
249
|
249
|
|
J1569
|
GAMMAGARD LIQUID INJECTION |
233
|
10,345
|
|
82784
|
ASSAY IGA/IGD/IGG/IGM EACH |
216
|
356
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
206
|
294
|
|
80053
|
COMPREHEN METABOLIC PANEL |
204
|
204
|
|
86833
|
HLA CLASS II HIGH DEFIN QUAL |
202
|
202
|
|
86832
|
HLA CLASS I HIGH DEFIN QUAL |
202
|
202
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
197
|
199
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
158
|
166
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
135
|
135
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
108
|
200
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
85
|
3,737
|
|
J2930
|
METHYLPREDNISOLONE INJECTION |
83
|
200
|
|
Q0163
|
DIPHENHYDRAMINE HCL 50MG |
79
|
79
|
|
J1720
|
HYDROCORTISONE SODIUM SUCC I |
77
|
79
|
|
96367
|
TX/PROPH/DG ADDL SEQ IV INF |
55
|
68
|
