CPT 80069

Across 1,082,005 services billed by 1,696 providers to 601,042 beneficiaries, Medicare allowed an average of $8.48 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. 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.

• 80053Blood test, comprehensive group of blood chemicals$10.33
• 80061Blood test, lipids (cholesterol and triglycerides)$13.10
• 80048Blood test, basic group of blood chemicals (calcium, total)$8.27
• 80076Liver function blood test panel$7.99
• 80047Blood test, basic group of blood chemicals (calcium, ionized)$13.42
• 80051Blood test panel for electrolytes (sodium potassium$6.83
• 80074Acute hepatitis panel$46.60

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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