J2403
CPT/HCPCSChloroprocaine hcl ophthalmic, 3% gel, 1 mg
Physician Fee Schedule
Facility
Medicare Payment
$0.56
Submitted Charge$1.24
Medicare Allowed$0.70
Providers75
Beneficiaries4,831
Total Services5,427,921
Office
Medicare Payment
$0.55
Submitted Charge$1.16
Medicare Allowed$0.68
Providers70
Beneficiaries3,627
Total Services5,776,304