90962
CPT/HCPCSDialysis services, 1 physician visit per month (20 years or older)
Physician Fee Schedule
Facility
Medicare Payment
$164.00
Submitted Charge$745.77
Medicare Allowed$209.28
Providers470
Beneficiaries2,674
Total Services7,559
Office
Medicare Payment
$157.26
Submitted Charge$475.21
Medicare Allowed$199.53
Providers8,330
Beneficiaries55,537
Total Services130,100