CPT 82530

Across 31,078 services billed by 101 providers to 18,996 beneficiaries, Medicare allowed an average of $16.35 per service. That is 1.6 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.

• 82570Creatinine level to test for kidney function or muscle injury$5.06
• 82550Creatine kinase (cardiac enzyme) level$6.37
• 82565Blood creatinine level$4.89
• 82533Cortisol (hormone) measurement$15.94
• 82542Chemical analysis$23.53
• 82523Collagen cross links test$18.30
• 82525Copper level$12.12
• 82507Citrate level$27.22
• 82553Creatine kinase (cardiac enzyme) level$11.29
• 82575Creatinine clearance measurement to test for kidney function$9.19
• 82552Creatine kinase (cardiac enzyme) level$13.09
• 82595Cryoglobulin (protein) measurement$6.34

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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