J1580
CPT/HCPCSInjection, garamycin, gentamicin, up to 80 mg
Physician Fee Schedule
Facility
Medicare Payment
$2.17
Submitted Charge$18.10
Medicare Allowed$2.74
Providers13
Beneficiaries245
Total Services468
Office
Medicare Payment
$2.10
Submitted Charge$14.88
Medicare Allowed$2.71
Providers5,138
Beneficiaries38,213
Total Services82,472.5