| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
245 |
228 |
$227K |
| A6023 |
Collagen dressing, sterile, size more than 48 sq. in., each |
18 |
14 |
$81K |
| 11043 |
|
1,430 |
850 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,500 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,193 |
$43K |
| 20610 |
|
1,491 |
1,178 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
505 |
320 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,476 |
455 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,443 |
415 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
139 |
126 |
$7K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
264 |
239 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,703 |
1,521 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
627 |
185 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
539 |
192 |
$4K |
| 15275 |
|
107 |
50 |
$4K |
| 73620 |
|
197 |
162 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
175 |
103 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$2K |
| A4452 |
Tape, waterproof, per 18 square inches |
361 |
338 |
$2K |
| 73562 |
|
92 |
77 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
39 |
$1K |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
151 |
145 |
$1K |
| 73564 |
|
28 |
24 |
$385.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$291.33 |
| 72110 |
|
12 |
12 |
$195.79 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
68 |
65 |
$185.97 |
| 29581 |
|
32 |
18 |
$161.02 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
15 |
15 |
$58.80 |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
30 |
29 |
$0.00 |