0499T
CPT/HCPCSCysto f/urtl strix/stenosis
Physician Fee Schedule
Facility
Medicare Payment
$129.72
Submitted Charge$1,698.31
Medicare Allowed$162.89
Providers150
Beneficiaries375
Total Services380
Office
Medicare Payment
$136.74
Submitted Charge$1,209.50
Medicare Allowed$171.46
Providers5
Beneficiaries12
Total Services12