| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11043 |
|
14,793 |
5,404 |
$792K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
10,010 |
4,534 |
$194K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,457 |
5,339 |
$97K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,042 |
4,914 |
$91K |
| 11044 |
|
1,602 |
721 |
$86K |
| 99305 |
|
1,009 |
949 |
$23K |
| 99307 |
|
2,591 |
2,426 |
$17K |
| 17250 |
|
2,253 |
1,187 |
$14K |
| 97597 |
|
1,084 |
540 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
292 |
251 |
$9K |
| 11046 |
|
89 |
41 |
$5K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
18 |
13 |
$4K |
| 99304 |
|
42 |
38 |
$953.07 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
15 |
12 |
$121.94 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$100.13 |
| 97610 |
|
509 |
224 |
$10.91 |