item-sample.json

...
"sequence": 2,
                "revenue": {
                    "coding": [{
                        "system": "https://bluebutton.cms.gov/resources/variables/rev_cntr",
                        "code": "0250",
                        "display": "Pharmacy-general classification"
                    }]
                },
                "locationAddress": {
                    "state": "99"
                },
                "quantity": {
                    "value": 868
                },
                "adjudication": [{
                    "category": {
                        "coding": [{
                            "system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
                            "code": "https://bluebutton.cms.gov/resources/variables/rev_cntr_rate_amt",
                            "display": "Revenue Center Rate Amount"
                        }]
                    },
                    "amount": {
                        "value": 0.0,
                        "system": "urn:iso:std:iso:4217",
                        "code": "USD"
                    }
                },
....