| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6023 |
Collagen dressing, sterile, size more than 48 sq. in., each |
51 |
44 |
$249K |
| 20605 |
|
8,543 |
3,137 |
$118K |
| 17111 |
|
2,618 |
2,124 |
$107K |
| 11044 |
|
1,346 |
765 |
$102K |
| 20973 |
|
162 |
151 |
$86K |
| 11721 |
|
7,634 |
6,762 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,237 |
2,821 |
$58K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
4,128 |
3,080 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
843 |
771 |
$29K |
| 11057 |
|
2,131 |
1,800 |
$23K |
| 64450 |
|
736 |
331 |
$14K |
| 27616 |
|
64 |
56 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
786 |
577 |
$10K |
| 11750 |
|
159 |
131 |
$8K |
| 27615 |
|
26 |
24 |
$4K |
| 17110 |
|
201 |
184 |
$4K |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
51 |
44 |
$2K |
| 11604 |
|
40 |
26 |
$2K |
| 20525 |
|
18 |
14 |
$1K |
| 11740 |
|
141 |
132 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
76 |
60 |
$699.27 |
| 29580 |
|
75 |
40 |
$633.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21 |
18 |
$580.62 |
| 28805 |
|
14 |
12 |
$409.34 |
| A4452 |
Tape, waterproof, per 18 square inches |
51 |
44 |
$98.69 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
51 |
44 |
$0.07 |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
51 |
44 |
$0.00 |
| 1036F |
|
17 |
12 |
$0.00 |