| Procedure | Description | Number Submitted | Medicare Payment |
| J2795
|
Ropivacaine hcl injection
|
XXXXX
|
-
|
| J2704
|
Inj, propofol, 10 mg
|
XXXXX
|
-
|
| J1756
|
Iron sucrose injection
|
XXXXX
|
-
|
| J1642
|
Inj heparin sodium per 10 u
|
XXXXX
|
-
|
| J9271
|
Inj pembrolizumab
|
XXXXX
|
$XXXXXX.XX
|
| J3490
|
Drugs unclassified injection
|
XXXXX
|
-
|
| J7512
|
Prednisone ir or dr oral 1mg
|
XXXXX
|
-
|
| J9263
|
Oxaliplatin
|
XXXXX
|
-
|
| J7195
|
Factor ix recombinant nos
|
XXXXX
|
-
|
| J1815
|
Insulin injection
|
XXXXX
|
-
|
| J1439
|
Inj ferric carboxymaltos 1mg
|
XXXXX
|
$XXXX.XX
|
| J7187
|
Humate-p, inj
|
XXXXX
|
-
|
| J2405
|
Ondansetron hcl injection
|
XXXXX
|
-
|
| J9025
|
Azacitidine injection
|
XXXXX
|
$XXXX.XX
|
| J1100
|
Dexamethasone sodium phos
|
XXXXX
|
-
|
| J3262
|
Tocilizumab injection
|
XXXXX
|
$XXXXX.XX
|
| J2265
|
Minocycline hydrochloride
|
XXXXX
|
$XXXXX.XX
|
| J1644
|
Inj heparin sodium per 1000u
|
XXXX
|
-
|
| J9306
|
Injection, pertuzumab, 1 mg
|
XXXX
|
$XXXXX.XX
|
| J9177
|
Inj enfort vedo-ejfv 0.25mg
|
XXXX
|
$XXXXXX.XX
|
| J0878
|
Daptomycin injection
|
XXXX
|
-
|
| J0690
|
Cefazolin sodium injection
|
XXXX
|
-
|
| J1745
|
Infliximab not biosimil 10mg
|
XXXX
|
$XXXXXX.XX
|
| J0881
|
Darbepoetin alfa, non-esrd
|
XXXX
|
$XXXXX.XX
|
| J0585
|
Injection,onabotulinumtoxina
|
XXXX
|
$XXXX.XX
|
| J9305
|
Inj. pemetrexed nos 10mg
|
XXXX
|
$XXXXXX.XX
|
| J0583
|
Bivalirudin
|
XXXX
|
-
|
