J1097
CPT/HCPCSPhenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Physician Fee Schedule
Facility
Medicare Payment
$76.05
Submitted Charge$301.66
Medicare Allowed$95.35
Providers528
Beneficiaries131,001
Total Services855,098
Office
Medicare Payment
$88.30
Submitted Charge$314.61
Medicare Allowed$110.83
Providers6
Beneficiaries11
Total Services33