74250
CPT/HCPCSSingle contrast x-ray of small intestine
Physician Fee Schedule
Facility
Medicare Payment
$29.48
Submitted Charge$128.40
Medicare Allowed$38.13
Providers11,021
Beneficiaries38,281
Total Services41,797
Office
Medicare Payment
$76.04
Submitted Charge$290.18
Medicare Allowed$101.26
Providers827
Beneficiaries1,586
Total Services1,685