70554

CPT/HCPCS

Functional mri scan of brain

Physician Fee Schedule

Facility

Medicare Payment

$79.21

Submitted Charge$521.03
Medicare Allowed$101.43
Providers222
Beneficiaries365
Total Services373
Office

Medicare Payment

$223.10

Submitted Charge$1,996.12
Medicare Allowed$286.11
Providers54
Beneficiaries77
Total Services87