90671

CPT/HCPCS

Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use

Physician Fee Schedule

Facility

Medicare Payment

$237.21

Submitted Charge$668.12
Medicare Allowed$237.21
Providers36
Beneficiaries51
Total Services51
Office

Medicare Payment

$238.52

Submitted Charge$378.23
Medicare Allowed$238.52
Providers4,665
Beneficiaries33,399
Total Services33,477.5