J1096
CPT/HCPCSDexamethasone, lacrimal ophthalmic insert, 0.1 mg
Physician Fee Schedule
Facility
Medicare Payment
$99.15
Submitted Charge$304.51
Medicare Allowed$124.34
Providers363
Beneficiaries49,124
Total Services316,283
Office
Medicare Payment
$110.41
Submitted Charge$352.46
Medicare Allowed$138.85
Providers91
Beneficiaries1,280
Total Services9,135