G1028

CPT/HCPCS

Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Physician Fee Schedule

Office

Medicare Payment

$102.11

Submitted Charge$143.62
Medicare Allowed$104.05
Providers15
Beneficiaries130
Total Services250