21480
CPT/HCPCSClosed treatment of dislocated jaw joint
Physician Fee Schedule
Facility
Medicare Payment
$25.66
Submitted Charge$379.86
Medicare Allowed$33.25
Providers618
Beneficiaries477
Total Services664
Office
Medicare Payment
$93.75
Submitted Charge$348.18
Medicare Allowed$130.63
Providers31
Beneficiaries46
Total Services66