28455

CPT/HCPCS

Treatment of broken foot bone at ankle with manipulation

Physician Fee Schedule

Facility

Medicare Payment

$108.21

Submitted Charge$1,034.45
Medicare Allowed$135.81
Providers39
Beneficiaries40
Total Services59
Office

Medicare Payment

$211.91

Submitted Charge$652.17
Medicare Allowed$269.48
Providers25
Beneficiaries44
Total Services50