21032

CPT/HCPCS

Removal of bony growth of upper jaw bone inside mouth

Physician Fee Schedule

Facility

Medicare Payment

$189.83

Submitted Charge$1,459.66
Medicare Allowed$243.06
Providers40
Beneficiaries43
Total Services43
Office

Medicare Payment

$224.77

Submitted Charge$997.80
Medicare Allowed$292.48
Providers45
Beneficiaries70
Total Services75