| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
880 |
575 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
809 |
580 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
370 |
197 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$138.19 |
| 11721 |
|
14 |
14 |
$44.74 |
| 2028F |
|
119 |
88 |
$0.00 |
| 4265F |
|
32 |
14 |
$0.00 |