21031

CPT/HCPCS

Removal of bony growth of jaw bone inside mouth

Physician Fee Schedule

Facility

Medicare Payment

$180.69

Submitted Charge$1,172.26
Medicare Allowed$227.74
Providers36
Beneficiaries44
Total Services55
Office

Medicare Payment

$258.31

Submitted Charge$1,263.52
Medicare Allowed$335.74
Providers39
Beneficiaries55
Total Services78