12054

CPT/HCPCS

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm

Physician Fee Schedule

Facility

Medicare Payment

$133.40

Submitted Charge$1,160.67

Medicare Allowed$170.51

Providers1,103

Beneficiaries1,450

Total Services1,518

Office

Medicare Payment

$170.77

Submitted Charge$859.17

Medicare Allowed$215.58

Providers934

Beneficiaries2,346

Total Services2,372