| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11308 |
|
489 |
303 |
$11K |
| 11307 |
|
339 |
223 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
109 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
24 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
24 |
$730.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$457.82 |
| 11721 |
|
14 |
12 |
$95.81 |