| Procedure | Description | Number Submitted | Medicare Payment |
| J3490
|
Drugs unclassified injection
|
XXXXXX
|
-
|
| J0583
|
Bivalirudin
|
XXXXXX
|
-
|
| J2704
|
Inj, propofol, 10 mg
|
XXXXXX
|
-
|
| J0690
|
Cefazolin sodium injection
|
XXXXXX
|
-
|
| J8499
|
Oral prescrip drug non chemo
|
XXXXXX
|
-
|
| J0131
|
Inj, acetaminophen (nos)
|
XXXXXX
|
-
|
| J3111
|
Inj. romosozumab-aqqg 1 mg
|
XXXXX
|
$XXXXXX.XX
|
| J9267
|
Paclitaxel injection
|
XXXXX
|
-
|
| J2795
|
Ropivacaine hcl injection
|
XXXXX
|
-
|
| J0717
|
Certolizumab pegol inj 1mg
|
XXXXX
|
$XXXXXX.XX
|
| J0585
|
Injection,onabotulinumtoxina
|
XXXXX
|
$XXXXXX.XX
|
| J1815
|
Insulin injection
|
XXXXX
|
-
|
| J2370
|
Phenylephrine hcl injection
|
XXXXX
|
-
|
| J0692
|
Cefepime hcl for injection
|
XXXXX
|
-
|
| J3262
|
Tocilizumab injection
|
XXXXX
|
$XXXXXX.XX
|
| J1642
|
Inj heparin sodium per 10 u
|
XXXXX
|
-
|
| J1100
|
Dexamethasone sodium phos
|
XXXXX
|
-
|
| J0897
|
Denosumab injection
|
XXXXX
|
$XXXXXX.XX
|
| J3370
|
Vancomycin hcl injection
|
XXXXX
|
-
|
| J1644
|
Inj heparin sodium per 1000u
|
XXXXX
|
-
|
| J0295
|
Ampicillin sulbactam 1.5 gm
|
XXXXX
|
-
|
| J2405
|
Ondansetron hcl injection
|
XXXXX
|
-
|
| J0129
|
Abatacept injection
|
XXXXX
|
$XXXXXX.XX
|
| J3301
|
Triamcinolone acet inj nos
|
XXXXX
|
-
|
| J1602
|
Golimumab for iv use 1mg
|
XXXXX
|
$XXXXXX.XX
|
| J9271
|
Inj pembrolizumab
|
XXXXX
|
$XXXXXX.XX
|
| J3380
|
Injection, vedolizumab
|
XXXXX
|
$XXXXXX.XX
|
| J7512
|
Prednisone ir or dr oral 1mg
|
XXXXX
|
-
|
| J9035
|
Bevacizumab injection
|
XXXXX
|
$XXXXXX.XX
|
