G0403
CPT/HCPCSElectrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Physician Fee Schedule
Facility
Medicare Payment
$5.50
Submitted Charge$55.15
Medicare Allowed$11.99
Providers28
Beneficiaries42
Total Services42
Office
Medicare Payment
$6.69
Submitted Charge$52.00
Medicare Allowed$14.20
Providers27,555
Beneficiaries108,752
Total Services108,753