28322

CPT/HCPCS

Repair of nonhealed broken forefoot bone

Physician Fee Schedule

Facility

Medicare Payment

$897.90

Submitted Charge$4,935.36
Medicare Allowed$1,128.11
Providers613
Beneficiaries488
Total Services776
Office

Medicare Payment

$390.78

Submitted Charge$3,465.74
Medicare Allowed$496.32
Providers20
Beneficiaries17
Total Services21