G0404HCPCS Level IISave

G0404 - Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

HCPCS Level II section: HCPCS G: Professional Procedures and Services

Medicare Physician Fee Schedule

Facility

Medicare Payment

$4.10

Submitted Charge$12.78
Medicare Allowed$5.45
Providers1
Beneficiaries20
Total Services20
Office

Medicare Payment

$2.80

Submitted Charge$39.00
Medicare Allowed$6.14
Providers2,635
Beneficiaries6,020
Total Services6,020

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.