| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 29581 |
|
5,062 |
2,455 |
$571K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
368 |
175 |
$542K |
| 11043 |
|
1,010 |
522 |
$229K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,867 |
964 |
$189K |
| Q4132 |
Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) |
76 |
40 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,760 |
1,016 |
$98K |
| 15275 |
|
498 |
244 |
$69K |
| 99223 |
Prolong inpt eval add15 m |
442 |
430 |
$67K |
| 11056 |
|
1,111 |
900 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
728 |
454 |
$42K |
| 11721 |
|
637 |
631 |
$30K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
82 |
39 |
$28K |
| Q4131 |
Epifix or epicord, per square centimeter |
24 |
12 |
$24K |
| 29580 |
|
208 |
147 |
$7K |
| 28002 |
|
15 |
14 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
29 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$913.08 |