15004
CPT/HCPCSPreparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
Physician Fee Schedule
Facility
Medicare Payment
$184.02
Submitted Charge$1,328.06
Medicare Allowed$231.28
Providers4,262
Beneficiaries14,608
Total Services23,577
Office
Medicare Payment
$310.06
Submitted Charge$969.96
Medicare Allowed$390.53
Providers1,937
Beneficiaries11,337
Total Services17,182