90622
CPT/HCPCSVaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 ml dosage, for percutaneous use
Physician Fee Schedule
Facility
Medicare Payment
$0.01
Submitted Charge$40.00
Medicare Allowed$0.01
Providers1
Beneficiaries29
Total Services29
Office
Medicare Payment
$0.60
Submitted Charge$91.50
Medicare Allowed$0.60
Providers50
Beneficiaries141
Total Services141