J1212
CPT/HCPCSInjection, dmso, dimethyl sulfoxide, 50%, 50 ml
Physician Fee Schedule
Facility
Medicare Payment
$515.97
Submitted Charge$1,691.39
Medicare Allowed$650.18
Providers9
Beneficiaries40
Total Services53
Office
Medicare Payment
$484.17
Submitted Charge$865.65
Medicare Allowed$610.93
Providers324
Beneficiaries561
Total Services4,650