67299

CPT/HCPCS

Other procedure on back of eye

Physician Fee Schedule

Facility

Medicare Payment

$411.78

Submitted Charge$4,104.42
Medicare Allowed$515.87
Providers52
Beneficiaries112
Total Services123
Office

Medicare Payment

$401.05

Submitted Charge$2,126.19
Medicare Allowed$501.41
Providers8
Beneficiaries15
Total Services16