90947

CPT/HCPCS

Dialysis procedure requiring repeat evaluation

Physician Fee Schedule

Facility

Medicare Payment

$97.13

Submitted Charge$413.27
Medicare Allowed$122.42
Providers1,015
Beneficiaries2,989
Total Services8,648
Office

Medicare Payment

$97.12

Submitted Charge$343.53
Medicare Allowed$124.03
Providers36
Beneficiaries59
Total Services175