21025
CPT/HCPCSRemoval of lower jaw bone
Physician Fee Schedule
Facility
Medicare Payment
$456.43
Submitted Charge$3,137.80
Medicare Allowed$573.30
Providers470
Beneficiaries831
Total Services899
Office
Medicare Payment
$380.20
Submitted Charge$1,391.98
Medicare Allowed$479.45
Providers265
Beneficiaries1,153
Total Services1,616