96113
CPT/HCPCSAdministration of developmental test, each additional 30 minutes
Physician Fee Schedule
Facility
Medicare Payment
$42.23
Submitted Charge$181.00
Medicare Allowed$52.81
Providers4
Beneficiaries16
Total Services28
Office
Medicare Payment
$48.02
Submitted Charge$143.48
Medicare Allowed$60.57
Providers29
Beneficiaries152
Total Services522