96910
CPT/HCPCSTherapy procedure using ultraviolet radiation with tar or petroleum jelly application
Physician Fee Schedule
Facility
Medicare Payment
$97.22
Submitted Charge$223.64
Medicare Allowed$124.13
Providers4
Beneficiaries132
Total Services266
Office
Medicare Payment
$94.86
Submitted Charge$226.92
Medicare Allowed$121.37
Providers3,158
Beneficiaries11,680
Total Services279,763