CPT 83036

Across 14,393,695 services billed by 46,434 providers to 9,292,514 beneficiaries, Medicare allowed an average of $9.49 per service. That is 1.5 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.

• 83090Homocysteine (amino acid) level$17.55
• 83001Gonadotropin, follicle stimulating (reproductive hormone) level$18.16
• 83002Gonadotropin, luteinizing (reproductive hormone) level$18.11
• 83010Haptoglobin (serum protein) level$12.31
• 83013Breath test analysis for helicobacter pylori$65.81
• 83037Hemoglobin a1c level$9.30
• 83021Hemoglobin analysis and measurement$17.69
• 83069Urine hemoglobin level$3.85
• 83014Administration of drug for helicobacter pylori$7.69
• 83020Hemoglobin analysis and measurement$14.03
• 83003Human growth hormone level$16.31
• 83018Heavy metal level$19.57

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.

What doctors are paid →·Look up a clinician →·All procedure codes →