| Code | Description | Claims | Beneficiaries | Total Paid |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
598 |
327 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
979 |
608 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
520 |
384 |
$10K |
| 11043 |
|
70 |
42 |
$5K |
| 97597 |
|
89 |
54 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$611.90 |
| 17250 |
|
50 |
39 |
$483.41 |
| 99305 |
|
13 |
13 |
$387.30 |