40804
CPT/HCPCSSimple removal of embedded foreign body in mouth
Physician Fee Schedule
Facility
Medicare Payment
$74.17
Submitted Charge$551.30
Medicare Allowed$99.35
Providers30
Beneficiaries32
Total Services33
Office
Medicare Payment
$114.87
Submitted Charge$427.87
Medicare Allowed$152.49
Providers52
Beneficiaries85
Total Services86