| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,044 |
2,414 |
$122K |
| 99223 |
Prolong inpt eval add15 m |
1,153 |
1,117 |
$89K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,420 |
510 |
$88K |
| 29581 |
|
1,083 |
424 |
$70K |
| A6452 |
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
1,650 |
545 |
$69K |
| 97597 |
|
789 |
457 |
$50K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,067 |
695 |
$31K |
| A6251 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,447 |
917 |
$30K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,223 |
402 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
377 |
260 |
$23K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
2,168 |
827 |
$15K |
| A6456 |
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
1,359 |
477 |
$14K |
| 99205 |
Prolong outpt/office vis |
65 |
65 |
$10K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,410 |
950 |
$8K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
51 |
12 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
24 |
$3K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
28 |
14 |
$2K |
| A6441 |
Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard |
210 |
73 |
$899.20 |