| Code | Description | Claims | Beneficiaries | Total Paid |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,020 |
464 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,028 |
615 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
889 |
574 |
$3K |
| 11043 |
|
154 |
72 |
$2K |
| 99307 |
|
326 |
252 |
$396.32 |
| 99306 |
Prolong nursin fac eval 15m |
56 |
56 |
$379.40 |
| 99310 |
Prolong nursin fac eval 15m |
32 |
28 |
$84.85 |
| 99305 |
|
13 |
13 |
$77.12 |
| 97597 |
|
57 |
40 |
$49.94 |
| 97610 |
|
152 |
57 |
$0.00 |