| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
3,186 |
3,150 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
576 |
575 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
652 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,778 |
2,544 |
$14K |
| 11056 |
|
789 |
778 |
$11K |
| 17110 |
|
142 |
140 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
372 |
367 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$393.54 |
| 11055 |
|
40 |
39 |
$95.93 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
14 |
13 |
$73.00 |