| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 7,720 | $40 | $278K |
| J2357 | Injection, omalizumab, 5 mg | 3,300 | $30 | $99K |
| 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. | 4,800 | $10 | $48K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 290 | $80 | $23.4K |
| 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… | 210 | $100 | $20.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 130 | $120 | $15.7K |
| 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. | 1,800 | $10 | $12.6K |
| 96370 | The provider infuses a medication through a previously established subcutaneous infusion site and pump set up for each additional hour. He administers the drug or substance for prevention or for… | 350 | $10 | $3.9K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 1,180 | $1 | $3.5K |
| 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. | 520 | $10 | $3.1K |