42140
CPT/HCPCSRemoval of soft tissue of roof of mouth
Physician Fee Schedule
Facility
Medicare Payment
$250.46
Submitted Charge$1,706.28
Medicare Allowed$317.10
Providers237
Beneficiaries224
Total Services288
Office
Medicare Payment
$213.67
Submitted Charge$954.92
Medicare Allowed$285.09
Providers58
Beneficiaries67
Total Services67