21400
CPT/HCPCSClosed treatment of broken eye bone
Physician Fee Schedule
Facility
Medicare Payment
$103.28
Submitted Charge$1,935.63
Medicare Allowed$131.33
Providers56
Beneficiaries69
Total Services69
Office
Medicare Payment
$177.46
Submitted Charge$821.27
Medicare Allowed$222.59
Providers19
Beneficiaries30
Total Services30