82140
CPT/HCPCSAmmonia level
Physician Fee Schedule
Facility
Medicare Payment
$14.28
Submitted Charge$44.26
Medicare Allowed$14.28
Providers13
Beneficiaries31
Total Services33
Office
Medicare Payment
$14.27
Submitted Charge$71.81
Medicare Allowed$14.27
Providers1,046
Beneficiaries109,983
Total Services163,612