42160

CPT/HCPCS

Destruction of growth or soft tissue of roof of mouth

Physician Fee Schedule

Facility

Medicare Payment

$76.37

Submitted Charge$1,345.24
Medicare Allowed$100.61
Providers35
Beneficiaries38
Total Services40
Office

Medicare Payment

$177.06

Submitted Charge$646.21
Medicare Allowed$225.11
Providers36
Beneficiaries49
Total Services64