Q4133
CPT/HCPCSGrafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$105.99
Submitted Charge$253.69
Medicare Allowed$133.03
Providers16
Beneficiaries24
Total Services433
Office
Medicare Payment
$105.76
Submitted Charge$299.68
Medicare Allowed$132.84
Providers470
Beneficiaries978
Total Services80,081