CPT 94762

Across 132,964 services billed by 413 providers to 113,435 beneficiaries, Medicare allowed an average of $29.99 per service. That is 1.2 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.

• 94729Test to examine how well the lungs exchange gases$34.47
• 94726Test to determine lung volumes$34.10
• 94727Test to determine lung volumes$35.30
• 94760Test to measure oxygen level in blood$2.51
• 94728Test to measure resistance of the airways and lungs to differing frequ$40.57
• 94761Test to measure oxygen level in blood$4.63

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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