53899

CPT/HCPCS

Other procedure on urinary system

Physician Fee Schedule

Facility

Medicare Payment

$275.94

Submitted Charge$2,537.84
Medicare Allowed$345.32
Providers423
Beneficiaries689
Total Services783
Office

Medicare Payment

$157.75

Submitted Charge$1,015.05
Medicare Allowed$200.71
Providers84
Beneficiaries426
Total Services442