J0696
CPT/HCPCSInjection, ceftriaxone sodium, per 250 mg
Physician Fee Schedule
Facility
Medicare Payment
$0.38
Submitted Charge$28.58
Medicare Allowed$0.52
Providers30
Beneficiaries89
Total Services377
Office
Medicare Payment
$0.37
Submitted Charge$16.56
Medicare Allowed$0.51
Providers60,865
Beneficiaries390,919
Total Services2,435,721.9