G0103

CPT/HCPCS

Prostate cancer screening; prostate specific antigen test (psa)

Physician Fee Schedule

Facility

Medicare Payment

$18.92

Submitted Charge$39.24
Medicare Allowed$18.92
Providers2
Beneficiaries264
Total Services264
Office

Medicare Payment

$18.87

Submitted Charge$99.01
Medicare Allowed$18.87
Providers17,431
Beneficiaries1,382,371
Total Services1,382,383