62303
CPT/HCPCSX-ray of middle spinal canal with review by radiologist
Physician Fee Schedule
Facility
Medicare Payment
$88.48
Submitted Charge$714.40
Medicare Allowed$114.79
Providers174
Beneficiaries201
Total Services205
Office
Medicare Payment
$197.92
Submitted Charge$1,007.13
Medicare Allowed$249.36
Providers35
Beneficiaries51
Total Services51