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Record Layout / Sample Data

 

File Description / Details:

Description: J Codes/Drugs/Injectables, Descriptions and Fees per state or locality
File Name: J Code Drug Table

Record Layout:
Field Type Size  Description
HCPCS Char 5 HCPCS Code
Description  Char  30  Short description
ST PAR Num 9.2 State or  Locality Participating Fee
ST NON PAR Num 9.2 State or  Locality Non Participating Fee
ST LIMITING Num 9.2 State or  Locality Limiting Fee

Sample Data  

CODE,DESC,S1,S2,S3
J0120,Tetracyclin injection,0.95,0.9,1.04
J0130,Abciximab injection,513.02,487.37,560.48
J0150,Injection adenosine 6 MG,27.36,25.99,29.89
J0151,Adenosine injection,212.56,201.93,232.22
J0170,Adrenalin epinephrin inject,1.6,1.52,1.75
J0190,Inj biperiden lactate/5 mg,3.16,3,3.45
J0200,Alatrofloxacin mesylate,35.04,33.29,38.28
J0205,Alglucerase injection,37.53,35.65,41
J0207,Amifostine,350.31,332.79,382.71
J0210,Methyldopate hcl injection,9.05,8.6,9.89
J0256,Alpha 1 proteinase inhibitor,2.09,1.99,2.29
J0270,Alprostadil for injection,3.81,3.62,4.16
J0280,Aminophyllin 250 MG inj,1.14,1.08,1.24
J0285,Amphotericin B,15.77,14.98,17.23
J0286,Amphotericin B lipid complex,88.66,84.23,96.86
J0290,Ampicillin 500 MG inj,1.92,1.82,2.09
J0295,Ampicillin sodium per 1.5 gm,6.87,6.53,7.51
J0300,Amobarbital 125 MG inj,2.02,1.92,2.21

10/07/08