41250

CPT/HCPCS

Repair of lacerated floor of mouth and/or tongue, 2.5 cm or less

Physician Fee Schedule

Facility

Medicare Payment

$112.15

Submitted Charge$907.15
Medicare Allowed$143.51
Providers229
Beneficiaries226
Total Services229
Office

Medicare Payment

$186.70

Submitted Charge$596.37
Medicare Allowed$257.95
Providers30
Beneficiaries30
Total Services30