67904

CPT/HCPCS

Repair of tendon of upper eyelid

Physician Fee Schedule

Facility

Medicare Payment

$568.61

Submitted Charge$3,612.32
Medicare Allowed$718.69
Providers2,534
Beneficiaries22,391
Total Services54,344
Office

Medicare Payment

$747.56

Submitted Charge$3,038.08
Medicare Allowed$951.76
Providers488
Beneficiaries3,077
Total Services3,170