40818
CPT/HCPCSRemoval of mouth tissue for grafting
Physician Fee Schedule
Facility
Medicare Payment
$115.15
Submitted Charge$1,185.27
Medicare Allowed$144.32
Providers116
Beneficiaries149
Total Services173
Office
Medicare Payment
$209.74
Submitted Charge$702.65
Medicare Allowed$282.32
Providers16
Beneficiaries26
Total Services28