PART $1$

$\backslash$table$[[$SERYICES$,$CPT CODE,ACTUAL CHARGE,ALLOWED CHAFGE$],[$NEW PATIENT DETAILED,$9203,$$$100\mathrm{.}00,$$$95\mathrm{.}00],[\backslash$table$[[$ESTABLISHED PATIENT PROBLEM$],[$FOCUS$]],99212,$$$88\mathrm{.}00,$$$85\mathrm{.}00],[$HDL CHOLESTEROL,$83718,$$$248\mathrm{.}00,$$$220\mathrm{.}00],[$HEMOGLOBIN$,85018,$$$15\mathrm{.}50,$$$12\mathrm{.}70],[$COMPLETE CBC W$/$O DIFF WBC$,85025,$$$45\mathrm{.}00,$$$43\mathrm{.}50],[$CULTURE$,$ BACTERIAL; BLOOD,$87040,$$$25\mathrm{.}00,$$$16\mathrm{.}50],[$STREP TEST,$87430,$$$150\mathrm{.}00,$$$80\mathrm{.}56],[$LIPID PANEL,$80061,$$$160\mathrm{.}00,$$$149\mathrm{.}90]]$

Instruction: Using the sample fee schedule, calculate the two cases below.

CASE #$1$ of Part $1$

Medicare beneficiary does meet$/$paid THE ANNUAL DEDUCTIBLE $$166\mathrm{.}00.$

Services provided: NP DETAILED, STREP TEST, LIPID PANEL

$\backslash$table$[[\backslash$table$[[$Medicare$],[$Coinsurance$],[80\%]],\backslash$table$[[$Medicare$],[$Deductible$]],\backslash$table$[[$Medicare$],[$Beneficiary$],[$Coinsurance$],[20\%]],\backslash$table$[[$Total$],[$Actual$],[$Charge$]],\backslash$table$[[$Total$],[$Allowed$],[$Charge$]],\backslash$table$[[$Courtesy$],[$Adjustment$]]],[,$$$166\mathrm{.}00,,,,]]$

CASE #$2$ of Part $2$

Medicare beneficiary does meet$/$paid THE ANNUAL DEDUCTIBLE $$166\mathrm{.}00.$

Services provided: $99203,85025,87040$

$\backslash$table$[[\backslash$table$[[$Medicare$],[$Coinsurance$],[80\%]],\backslash$table$[[$Medicare$],[$Deductible$]],\backslash$table$[[$Medicare$],[$Beneficiary$],[$Coinsurance$],[20\%]],\backslash$table$[[$Total$],[$Actual$],[$Charge$]],\backslash$table$[[$Total$],[$Allowed$],[$Charge$]],\backslash$table$[[$Courtesy$],[$Adjustmen$],[$t$]]],[,$$$166\mathrm{.}00,,,,]]$