| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
347 |
188 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
189 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
168 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
140 |
$10K |
| 20550 |
|
114 |
109 |
$6K |
| 76882 |
|
202 |
198 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
60 |
59 |
$4K |
| 11750 |
|
21 |
17 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
144 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
18 |
18 |
$748.35 |
| 99233 |
Prolong inpt eval add15 m |
13 |
13 |
$744.53 |
| 11721 |
|
14 |
14 |
$132.76 |