I like this carriers explanation...Page 36
The physician may charge the beneficiary, as a charge for the non-covered portion of the service, the amount he/she has established as the charge for the preventive medicine service, less the amount that would be owed by Medicare and the patient for the covered visit. In this example, the physician normally bills $200 for a full preventive service. His/her charge for the 99213 is $53.29, the Medicare fee schedule amount.
The physician may collect $146.71 from the beneficiary for the preventive service ($200 less $53.29) plus the 20% coinsurance of $10.66 for the covered visit. The patient is responsible for $157.37, and Medicare would pay $42.63.
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