G0289

CPT/HCPCS

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Physician Fee Schedule

Facility

Medicare Payment

$64.73

Submitted Charge$1,057.13

Medicare Allowed$81.08

Providers860

Beneficiaries2,210

Total Services2,341

Office

Medicare Payment

$72.05

Submitted Charge$976.72

Medicare Allowed$90.19

Providers37

Beneficiaries65

Total Services67