90670

CPT/HCPCS

Pneumococcal vaccine, 13-valent

Physician Fee Schedule

Facility

Medicare Payment

$244.84

Submitted Charge$484.24
Medicare Allowed$244.84
Providers26
Beneficiaries56
Total Services57
Office

Medicare Payment

$246.24

Submitted Charge$390.14
Medicare Allowed$246.24
Providers13,881
Beneficiaries43,930
Total Services44,306