67255

CPT/HCPCS

Repair of defect of sclera with graft

Physician Fee Schedule

Facility

Medicare Payment

$465.27

Submitted Charge$2,516.02
Medicare Allowed$585.91
Providers350
Beneficiaries522
Total Services737
Office

Medicare Payment

$386.57

Submitted Charge$2,508.89
Medicare Allowed$484.15
Providers23
Beneficiaries24
Total Services28