21030
CPT/HCPCSRemoval of growth or cyst of jaw or upper cheek
Physician Fee Schedule
Facility
Medicare Payment
$232.31
Submitted Charge$2,112.52
Medicare Allowed$293.04
Providers114
Beneficiaries133
Total Services138
Office
Medicare Payment
$284.43
Submitted Charge$996.26
Medicare Allowed$365.45
Providers344
Beneficiaries1,124
Total Services1,241