Q4158
CPT/HCPCSKerecis omega3, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$426.45
Submitted Charge$594.97
Medicare Allowed$535.24
Providers17
Beneficiaries41
Total Services8,204
Office
Medicare Payment
$248.70
Submitted Charge$398.74
Medicare Allowed$312.17
Providers488
Beneficiaries1,765
Total Services102,819.5