| Code | Description | Claims | Beneficiaries | Total Paid |
| 11043 |
|
2,674 |
1,174 |
$236K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,648 |
2,593 |
$215K |
| Q4196 |
Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) |
295 |
25 |
$209K |
| 99233 |
Prolong inpt eval add15 m |
3,945 |
965 |
$153K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,600 |
1,655 |
$147K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,414 |
2,216 |
$109K |
| 99307 |
|
6,605 |
3,872 |
$72K |
| 99223 |
Prolong inpt eval add15 m |
829 |
730 |
$57K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,612 |
1,226 |
$43K |
| 99305 |
|
555 |
500 |
$28K |
| 99304 |
|
390 |
338 |
$9K |
| 11044 |
|
19 |
12 |
$2K |
| 11046 |
|
158 |
79 |
$2K |
| 0518F |
|
671 |
358 |
$1K |
| 11045 |
|
56 |
24 |
$990.15 |
| 1100F |
|
529 |
266 |
$743.42 |
| 3288F |
|
452 |
188 |
$695.24 |
| G8404 |
Lower extremity neurological exam performed and documented |
612 |
289 |
$495.43 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
606 |
288 |
$413.52 |
| G8482 |
Influenza immunization administered or previously received |
580 |
269 |
$369.64 |
| 1123F |
|
524 |
241 |
$308.19 |
| 15271 |
|
93 |
26 |
$231.01 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
179 |
74 |
$12.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
18 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
14 |
14 |
$0.00 |