80177
CPT/HCPCSLevetiracetam level
Physician Fee Schedule
Facility
Medicare Payment
$12.98
Submitted Charge$66.49
Medicare Allowed$12.98
Providers15
Beneficiaries48
Total Services57
Office
Medicare Payment
$12.97
Submitted Charge$95.81
Medicare Allowed$12.97
Providers654
Beneficiaries59,354
Total Services102,921