21215
CPT/HCPCSRepair of lower jaw bone with bone graft
Physician Fee Schedule
Facility
Medicare Payment
$663.93
Submitted Charge$8,691.00
Medicare Allowed$833.98
Providers110
Beneficiaries227
Total Services288
Office
Medicare Payment
$3,143.97
Submitted Charge$6,039.00
Medicare Allowed$3,954.30
Providers234
Beneficiaries2,419
Total Services4,218