91321
CPT/HCPCSSarscov2 vac 25 mcg/.25ml im
Physician Fee Schedule
Facility
Medicare Payment
$143.00
Submitted Charge$145.92
Medicare Allowed$143.00
Providers3
Beneficiaries28
Total Services28
Office
Medicare Payment
$138.16
Submitted Charge$184.68
Medicare Allowed$138.16
Providers134
Beneficiaries1,057
Total Services1,058