40830
CPT/HCPCSRepair of lacerated mouth, 2.5 cm or less
Physician Fee Schedule
Facility
Medicare Payment
$93.54
Submitted Charge$770.08
Medicare Allowed$118.53
Providers77
Beneficiaries77
Total Services78
Office
Medicare Payment
$104.27
Submitted Charge$492.18
Medicare Allowed$131.14
Providers85
Beneficiaries520
Total Services758