42145

CPT/HCPCS

Complex removal of soft tissue of roof of mouth

Physician Fee Schedule

Facility

Medicare Payment

$528.33

Submitted Charge$3,102.02
Medicare Allowed$664.97
Providers235
Beneficiaries347
Total Services375
Office

Medicare Payment

$425.59

Submitted Charge$2,024.44
Medicare Allowed$562.54
Providers8
Beneficiaries13
Total Services13