Question

Ch 6 - AC #2

Dr. Ellen Zook, an allergist, is a participating provider with Phoenix Care and Medicare. She is a nonparticipating provider with Cirrus Health. Patients frequently receive allergy scratch testing, CPT code 95004, and are charged $470. In addition, Dr. Zook charges $65 for the average established patient office visit, CPT code 99213, and $70 for the average new patient office visit, CPT code 99203.


Parminder Singh is an established patient also seen by Dr. Zook for an office visit and allergy scratch testing; however, she is insured by Cirrus Health. The allowed charge under Cirrus Health is $58 for 99213, $61 for 99203, and $420 for 95004. What amount, if any, will be billed to Miss Singh for each procedure?

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