| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
701 |
459 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
606 |
190 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
291 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
204 |
131 |
$7K |
| 11721 |
|
666 |
348 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
37 |
$2K |
| 73562 |
|
28 |
15 |
$233.98 |
| 73630 |
|
17 |
13 |
$223.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
13 |
$156.50 |
| 99024 |
|
15 |
14 |
$0.00 |