G0400
CPT/HCPCSHome sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
Physician Fee Schedule
Facility
Medicare Payment
$39.05
Submitted Charge$327.72
Medicare Allowed$52.61
Providers29
Beneficiaries349
Total Services351
Office
Medicare Payment
$116.34
Submitted Charge$384.91
Medicare Allowed$149.49
Providers337
Beneficiaries12,569
Total Services13,557