| Procedure | Description | Number Submitted | Medicare Payment |
| J1439
|
Inj ferric carboxymaltos 1mg
|
XXXXX
|
$XXXXX.XX
|
| J0878
|
Daptomycin injection
|
XXXXX
|
-
|
| J2704
|
Inj, propofol, 10 mg
|
XXXXX
|
-
|
| J7183
|
Wilate injection
|
XXXXX
|
$XXXXX.XX
|
| J1756
|
Iron sucrose injection
|
XXXXX
|
-
|
| J2405
|
Ondansetron hcl injection
|
XXXXX
|
-
|
| J2795
|
Ropivacaine hcl injection
|
XXXXX
|
-
|
| J7168
|
Prothrombin complex kcentra
|
XXXXX
|
$XXXXX.XX
|
| J3490
|
Drugs unclassified injection
|
XXXX
|
-
|
| J1953
|
Levetiracetam injection
|
XXXX
|
-
|
| J0690
|
Cefazolin sodium injection
|
XXXX
|
-
|
| J1644
|
Inj heparin sodium per 1000u
|
XXXX
|
-
|
| J1100
|
Dexamethasone sodium phos
|
XXXX
|
-
|
| J0171
|
Adrenalin epinephrine inject
|
XXXX
|
-
|
| J0696
|
Ceftriaxone sodium injection
|
XXXX
|
-
|
| J3010
|
Fentanyl citrate injection
|
XXXX
|
-
|
| J2250
|
Inj midazolam hydrochloride
|
XXXX
|
-
|
| J7512
|
Prednisone ir or dr oral 1mg
|
XXXX
|
-
|
| J0129
|
Abatacept injection
|
XXXX
|
$XXXXXX.XX
|
| J0461
|
Atropine sulfate injection
|
XXXX
|
-
|
