28495

CPT/HCPCS

Closed treatment of broken great toe with manipulation

Physician Fee Schedule

Facility

Medicare Payment

$89.94

Submitted Charge$799.23
Medicare Allowed$115.24
Providers86
Beneficiaries87
Total Services87
Office

Medicare Payment

$136.25

Submitted Charge$427.22
Medicare Allowed$180.18
Providers129
Beneficiaries149
Total Services150