| CPT |
Description |
Number of Claims |
Sum Performed |
|
J1569
|
GAMMAGARD LIQUID INJECTION |
30
|
1,490
|
|
96365
|
THER/PROPH/DIAG IV INF INIT |
28
|
28
|
|
96366
|
THER/PROPH/DIAG IV INF ADDON |
28
|
34
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
28
|
1,450
|
|
J1561
|
GAMUNEX-C/GAMMAKED |
13
|
310
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
12
|
12
|
|
J1459
|
INJ IVIG PRIVIGEN 500 MG |
10
|
720
|
|
92557
|
COMPREHENSIVE HEARING TEST |
3
|
3
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
3
|
3
|
|
70480
|
CT ORBIT/EAR/FOSSA W/O DYE |
3
|
3
|
|
92567
|
TYMPANOMETRY |
2
|
2
|
|
36591
|
DRAW BLOOD OFF VENOUS DEVICE |
2
|
2
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
2
|
2
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
|
|
80061
|
LIPID PANEL |
2
|
2
|
|
31231
|
NASAL ENDOSCOPY DX |
2
|
2
|
|
69210
|
REMOVE IMPACTED EAR WAX UNI |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
99204
|
OFFICE O/P NEW MOD 45 MIN |
1
|
1
|
