| Procedure | Description | Number Submitted | Medicare Payment |
| J2704
|
Inj, propofol, 10 mg
|
XXXXXX
|
-
|
| J2795
|
Ropivacaine hcl injection
|
XXXXXX
|
-
|
| J1644
|
Inj heparin sodium per 1000u
|
XXXXX
|
-
|
| J3490
|
Drugs unclassified injection
|
XXXXX
|
-
|
| J1642
|
Inj heparin sodium per 10 u
|
XXXXX
|
-
|
| J0585
|
Injection,onabotulinumtoxina
|
XXXXX
|
$XXXXX.XX
|
| J2405
|
Ondansetron hcl injection
|
XXXXX
|
-
|
| J0256
|
Alpha 1 proteinase inhibitor
|
XXXXX
|
$XXXXX.XX
|
| J2001
|
Lidocaine injection
|
XXXXX
|
-
|
| J1756
|
Iron sucrose injection
|
XXXXX
|
-
|
| J0690
|
Cefazolin sodium injection
|
XXXXX
|
-
|
| J9267
|
Paclitaxel injection
|
XXXXX
|
-
|
| J1100
|
Dexamethasone sodium phos
|
XXXXX
|
-
|
| J0129
|
Abatacept injection
|
XXXXX
|
$XXXXXX.XX
|
| J1453
|
Fosaprepitant injection
|
XXXX
|
$XXXX.XX
|
| J2250
|
Inj midazolam hydrochloride
|
XXXX
|
-
|
| J0330
|
Succinycholine chloride inj
|
XXXX
|
-
|
| J2710
|
Neostigmine methylslfte inj
|
XXXX
|
-
|
| J1245
|
Dipyridamole injection
|
XXXX
|
-
|
| J0897
|
Denosumab injection
|
XXXX
|
$XXXXXX.XX
|
| J1569
|
Gammagard liquid injection
|
XXXX
|
$XXXXXX.XX
|
| J3010
|
Fentanyl citrate injection
|
XXXX
|
-
|
| J0461
|
Atropine sulfate injection
|
XXXX
|
-
|
| J1953
|
Levetiracetam injection
|
XXXX
|
-
|
| J7512
|
Prednisone ir or dr oral 1mg
|
XXXX
|
-
|
| J1602
|
Golimumab for iv use 1mg
|
XXXX
|
$XXXXX.XX
|
| J2720
|
Inj protamine sulfate/10 mg
|
XXXX
|
-
|
| J9271
|
Inj pembrolizumab
|
XXXX
|
$XXXXXX.XX
|
| J1885
|
Ketorolac tromethamine inj
|
XXXX
|
-
|
