Q4281

CPT/HCPCS

Barrera sl or barrera dl, per square centimeter

Physician Fee Schedule

Facility

Medicare Payment

$1,197.73

Submitted Charge$1,592.31
Medicare Allowed$1,503.28
Providers9
Beneficiaries16
Total Services1,380
Office

Medicare Payment

$1,223.51

Submitted Charge$1,649.09
Medicare Allowed$1,535.63
Providers278
Beneficiaries1,413
Total Services107,184.2