| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4205 |
Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) |
32 |
12 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,584 |
1,851 |
$112K |
| Q4227 |
Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) |
33 |
13 |
$26K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,205 |
415 |
$18K |
| 11721 |
|
1,344 |
887 |
$8K |
| 29581 |
|
1,122 |
337 |
$5K |
| 11056 |
|
240 |
146 |
$2K |
| 15275 |
|
124 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
27 |
$1K |
| 29580 |
|
53 |
24 |
$930.35 |
| 99305 |
|
49 |
32 |
$613.98 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
55 |
31 |
$531.62 |
| 17110 |
|
15 |
13 |
$129.84 |