J2704
CPT/HCPCSInjection, propofol, 10 mg
Physician Fee Schedule
Facility
Medicare Payment
$0.08
Submitted Charge$5.13
Medicare Allowed$0.11
Providers15
Beneficiaries104
Total Services1,180
Office
Medicare Payment
$0.09
Submitted Charge$9.95
Medicare Allowed$0.11
Providers873
Beneficiaries37,473
Total Services980,396.9