| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 2,830 | $40 | $102K |
| J2357 | Injection, omalizumab, 5 mg | 2,970 | $30 | $89.1K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 1,130 | $10 | $7.9K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 320 | $10 | $3.5K |
| 96369 | The provider sets up an infusion pump, establishes a subcutaneous port site, and infuses a medication via the pump for a period up to one hour. He administers the drug or substance for prevention or… | 30 | $100 | $3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $60 | $2K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 320 | $10 | $1.9K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 30 | $50 | $1.4K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 130 | $10 | $1.3K |
| 96366 | The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease. | 80 | $20 | $1.2K |