| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
1,090 |
60 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
272 |
118 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
998 |
361 |
$3K |
| A6199 |
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
22 |
13 |
$19.09 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
26 |
13 |
$4.91 |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
1,054 |
60 |
$0.00 |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
1,062 |
60 |
$0.00 |