Q4221
CPT/HCPCSAmniowrap2, per square centimeter
Physician Fee Schedule
Facility
Medicare Payment
$992.65
Submitted Charge$1,272.68
Medicare Allowed$1,246.02
Providers15
Beneficiaries47
Total Services1,932
Office
Medicare Payment
$1,121.32
Submitted Charge$1,535.33
Medicare Allowed$1,407.57
Providers80
Beneficiaries327
Total Services17,392