40820

CPT/HCPCS

Destruction of growth or scar of mouth

Physician Fee Schedule

Facility

Medicare Payment

$102.76

Submitted Charge$873.71
Medicare Allowed$131.66
Providers124
Beneficiaries196
Total Services239
Office

Medicare Payment

$213.43

Submitted Charge$483.89
Medicare Allowed$273.04
Providers216
Beneficiaries793
Total Services1,321