99199
CPT/HCPCSOther special service, procedure, or report
Physician Fee Schedule
Facility
Medicare Payment
$410.25
Submitted Charge$2,166.53
Medicare Allowed$515.55
Providers83
Beneficiaries93
Total Services145
Office
Medicare Payment
$167.98
Submitted Charge$304.90
Medicare Allowed$214.82
Providers54
Beneficiaries60
Total Services155