After you file

Was it for the Additional Medicare tax on high earners (for wages)?

http://www.irs.gov/Businesses/Small-Businesses-&-Self-Employed/Questions-and-Answers-for-the-Additio...

 

If you have a lot of investments or high income there is an Additional Medicare tax on Schedule 2 line 8 which goes to 1040 line 15.  That is offset with an extra amount on line 17 with withholding.