| Code | Description | Claims | Beneficiaries | Total Paid |
| 11043 |
|
3,471 |
1,381 |
$73K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,582 |
2,932 |
$32K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,849 |
2,012 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,391 |
2,125 |
$22K |
| 17250 |
|
2,192 |
1,009 |
$5K |
| 99307 |
|
1,227 |
922 |
$5K |
| 99304 |
|
54 |
54 |
$352.15 |
| 97597 |
|
78 |
57 |
$239.75 |
| 99305 |
|
31 |
31 |
$174.06 |
| 11046 |
|
26 |
14 |
$73.70 |
| 97610 |
|
84 |
34 |
$34.00 |
| Q4191 |
Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) |
115 |
41 |
$0.00 |
| 15271 |
|
100 |
37 |
$0.00 |