00104
CPT/HCPCSAnesthesia for electroshock therapy
Physician Fee Schedule
Facility
Medicare Payment
$64.88
Submitted Charge$821.28
Medicare Allowed$82.43
Providers10,764
Beneficiaries6,762
Total Services113,600
Office
Medicare Payment
$54.93
Submitted Charge$645.24
Medicare Allowed$69.34
Providers167
Beneficiaries125
Total Services2,391