15135

CPT/HCPCS

Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less

Physician Fee Schedule

Facility

Medicare Payment

$536.11

Submitted Charge$2,890.78
Medicare Allowed$673.55
Providers59
Beneficiaries87
Total Services103
Office

Medicare Payment

$602.97

Submitted Charge$2,552.30
Medicare Allowed$762.11
Providers17
Beneficiaries20
Total Services21