| Code | Description | Claims | Beneficiaries | Total Paid |
| 11043 |
|
348 |
170 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
501 |
255 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
47 |
46 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
25 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
299 |
174 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
123 |
92 |
$546.23 |
| 99307 |
|
60 |
55 |
$285.28 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$238.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$139.44 |