CPT 77092

Across 68,136 services billed by 472 providers to 68,110 beneficiaries, Medicare allowed an average of $9.60 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• 77067Screening mammography$65.10
• 77063Screening 3d breast mammography$34.08
• 77080Dxa bone density measurement of hip$21.30
• 77014Ct guidance for insertion of radiation therapy fields$70.52
• 77065Diagnostic mammography of 1 breast$64.22
• 77066Diagnostic mammography of both breasts$84.05
• 77002Fluoroscopic guidance for needle placement$90.55
• 77001Fluoroscopic guidance for insertion or removal of central vein access$21.63
• 77049Mri scan of both breasts$196.04
• 77081Dxa bone density measurement of forearm$19.89
• 77012Review by radiologist of ct guidance for needle placement$69.78
• 77085Dxa bone density measurement of hip$38.47

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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