42106

CPT/HCPCS

Removal of growth of roof of mouth with simple closure

Physician Fee Schedule

Facility

Medicare Payment

$110.73

Submitted Charge$1,703.75
Medicare Allowed$143.33
Providers151
Beneficiaries145
Total Services167
Office

Medicare Payment

$189.33

Submitted Charge$677.86
Medicare Allowed$251.16
Providers254
Beneficiaries365
Total Services367