40899
CPT/HCPCSOther procedure on inner mouth
Physician Fee Schedule
Facility
Medicare Payment
$265.66
Submitted Charge$3,213.59
Medicare Allowed$332.36
Providers24
Beneficiaries38
Total Services41
Office
Medicare Payment
$68.92
Submitted Charge$638.26
Medicare Allowed$86.49
Providers8
Beneficiaries69
Total Services69