| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4205 |
Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) |
501 |
143 |
$2.19M |
| Q4275 |
Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) |
401 |
171 |
$2.06M |
| Q4253 |
Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) |
266 |
91 |
$654K |
| 15271 |
|
1,298 |
469 |
$687.46 |
| 99342 |
|
16 |
14 |
$144.21 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
30 |
26 |
$0.00 |
| 97610 |
|
762 |
202 |
$0.00 |