| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
6,190 |
3,024 |
$416K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,968 |
12,906 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,575 |
5,565 |
$202K |
| 11721 |
|
4,392 |
4,347 |
$95K |
| 73630 |
|
1,676 |
1,163 |
$31K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
146 |
73 |
$30K |
| 11720 |
|
1,060 |
1,028 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
282 |
269 |
$13K |
| 97597 |
|
330 |
190 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
157 |
156 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
316 |
250 |
$6K |
| 11750 |
|
72 |
65 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
144 |
114 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
80 |
80 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
54 |
46 |
$1K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
15 |
14 |
$905.10 |
| 11000 |
|
60 |
57 |
$865.73 |
| 99325 |
|
16 |
16 |
$815.84 |
| 99348 |
|
25 |
25 |
$757.25 |
| 20550 |
|
15 |
13 |
$519.77 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
40 |
38 |
$430.39 |
| 11056 |
|
14 |
14 |
$350.98 |