P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com
Record Layout / Sample Data
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MedicalDataFiles.Com
P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com Record Layout / Sample Data |
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File Description / Details: |
| Description: | J Codes/Drugs/Injectables, Descriptions and Fees per state or locality |
| File Name: | J Code Drug Table |
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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 |
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
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10/07/08 |