75901

CPT/HCPCS

Review by radiologist of image for removal of obstructive material

Physician Fee Schedule

Facility

Medicare Payment

$19.51

Submitted Charge$107.77
Medicare Allowed$24.51
Providers500
Beneficiaries1,139
Total Services1,314
Office

Medicare Payment

$182.96

Submitted Charge$551.61
Medicare Allowed$229.19
Providers111
Beneficiaries427
Total Services485