90715
CPT/HCPCSDiphtheria, tetanus, and acellular pertussis vaccine (7 years or older)
Physician Fee Schedule
Facility
Medicare Payment
$24.45
Submitted Charge$189.33
Medicare Allowed$36.12
Providers35
Beneficiaries46
Total Services46
Office
Medicare Payment
$26.45
Submitted Charge$83.80
Medicare Allowed$37.18
Providers30,111
Beneficiaries70,709
Total Services70,811