21461
CPT/HCPCSTreatment of broken lower jaw bone
Physician Fee Schedule
Facility
Medicare Payment
$676.15
Submitted Charge$5,000.44
Medicare Allowed$850.83
Providers137
Beneficiaries222
Total Services234
Office
Medicare Payment
$880.04
Submitted Charge$2,707.69
Medicare Allowed$1,104.37
Providers2
Beneficiaries13
Total Services13