HCPCS G0010

Across 7,779 services billed by 252 providers to 5,432 beneficiaries, Medicare allowed an average of $30.96 per service. That is 1.4 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.

• G0008Administration of influenza virus vaccine$29.05
• G0009Administration of pneumococcal vaccine$29.85
• G0069Professional services for the administration of subcutaneous immunothe$29.26
• G0022Community health integration services$52.97
• G0068Professional services for the administration of anti-infective$78.73
• G0070Professional services for the administration of intravenous chemothera$219.38
• G0019Community health integration services performed by certified or traine$78.48
• G0089Professional services$26.90
• G0023Principal illness navigation services by certified or trained auxiliar$76.96
• G0024Principal illness navigation services$51.25

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 →