| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 1,720 | $40 | $61.9K |
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in… | 250 | $30 | $6.9K |
| 95938 | In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider… | 130 | $40 | $5K |
| 95939 | The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery. | 40 | $100 | $3.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $150 | $2.5K |
| 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 | $1.6K |
| 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. | 20 | $60 | $1K |