| J2724 | Injection, protein c concentrate, intravenous, human, 10 iu |
| B4197 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix |
| B4199 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix |
| B4189 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix |
| B4193 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix |
| G8770 | Urine protein test result documented and reviewed |
| P9043 | Infusion, plasma protein fraction (human), 5%, 50 ml |
| P9048 | Infusion, plasma protein fraction (human), 5%, 250 ml |
| J7205 | Injection, factor viii fc fusion protein (recombinant), per iu |
| Q9975 | Injection, factor viii fc fusion protein (recombinant), per iu |
| C9139 | Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u. |
| G8773 | Urine protein test was not performed, reason not given |
| J0256 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
| J0257 | Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
