CPT 93241

Across 28,742 services billed by 704 providers to 27,746 beneficiaries, Medicare allowed an average of $263.53 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.

• 93296Evaluation of single$21.59
• 93294Evaluation of single$28.57
• 93298Evaluation of cardiac rhythm monitor system$76.45
• 93297Evaluation of implantable heart and blood vessel monitoring system$45.47
• 93280Programming of dual lead pacemaker system$61.84
• 93295Evaluation of single$35.37
• 93229Electrocardiogram (ecg) up to 30 days continuous$1018.21
• 93247Heart rhythm analysis and report of continous external ekg over 8-15 d$299.31
• 93248Heart rhythm review and interpretation of continous external ekg over$24.98
• 93228Electrocardiogram (ecg) up to 30 days continuous$24.32
• 93243Heart rhythm analysis and report of continous external ekg over more t$279.98
• 93244Heart rhythm review$22.39

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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