| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,737 |
1,867 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,762 |
3,314 |
$11K |
| 11043 |
|
691 |
351 |
$8K |
| 11721 |
|
1,464 |
1,455 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,756 |
1,743 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
226 |
217 |
$2K |
| 11056 |
|
1,173 |
1,161 |
$2K |
| 15275 |
|
1,431 |
705 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
191 |
$699.64 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
42 |
$561.05 |
| 99221 |
|
15 |
15 |
$532.97 |
| 15004 |
|
16 |
16 |
$511.90 |
| 11720 |
|
354 |
349 |
$366.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
734 |
$314.48 |
| 99304 |
|
26 |
25 |
$189.00 |
| 73630 |
|
150 |
133 |
$147.75 |
| 73620 |
|
414 |
378 |
$110.82 |
| 15276 |
|
125 |
76 |
$54.48 |
| 11045 |
|
162 |
71 |
$43.80 |
| 11750 |
|
13 |
12 |
$0.00 |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
86 |
33 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
14 |
$0.00 |
| Q4133 |
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) |
64 |
29 |
$0.00 |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
157 |
78 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |
| 11046 |
|
26 |
12 |
$0.00 |