40801

CPT/HCPCS

Complicated drainage of abscess, cyst, or blood accumulation of mouth

Physician Fee Schedule

Facility

Medicare Payment

$133.22

Submitted Charge$1,144.67

Medicare Allowed$170.10

Providers89

Beneficiaries103

Total Services107

Office

Medicare Payment

$150.07

Submitted Charge$583.37

Medicare Allowed$195.13

Providers159

Beneficiaries599

Total Services707