28630
CPT/HCPCSClosed treatment of dislocated joint between toe and foot
Physician Fee Schedule
Facility
Medicare Payment
$69.60
Submitted Charge$624.82
Medicare Allowed$94.30
Providers101
Beneficiaries101
Total Services108
Office
Medicare Payment
$105.78
Submitted Charge$347.97
Medicare Allowed$134.43
Providers40
Beneficiaries65
Total Services72