J1200
CPT/HCPCSInjection, diphenhydramine hcl, up to 50 mg
Physician Fee Schedule
Facility
Medicare Payment
$0.75
Submitted Charge$8.57
Medicare Allowed$0.94
Providers10
Beneficiaries14
Total Services14
Office
Medicare Payment
$0.80
Submitted Charge$6.94
Medicare Allowed$1.02
Providers15,284
Beneficiaries97,899
Total Services486,279.7