| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,335 |
572 |
$19K |
| 97610 |
|
101 |
39 |
$0.00 |
| 15271 |
|
24 |
13 |
$0.00 |
| 11000 |
|
1,266 |
521 |
$0.00 |
| Q4173 |
Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) |
29 |
13 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
14 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$0.00 |
| Q4253 |
Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) |
23 |
12 |
$0.00 |