40831
CPT/HCPCSRepair of lacerated mouth, more than 2.5 cm
Physician Fee Schedule
Facility
Medicare Payment
$113.26
Submitted Charge$1,131.40
Medicare Allowed$141.88
Providers54
Beneficiaries57
Total Services60
Office
Medicare Payment
$131.90
Submitted Charge$499.90
Medicare Allowed$166.19
Providers32
Beneficiaries244
Total Services348