| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36558 |
|
27 |
25 |
$7K |
| 11043 |
|
33 |
20 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
57 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$494.08 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$238.99 |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$112.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$37.38 |