| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
1,130 |
437 |
$1.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,327 |
2,198 |
$185K |
| 36475 |
|
645 |
587 |
$89K |
| Q4197 |
Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) |
96 |
41 |
$23K |
| 15271 |
|
1,437 |
543 |
$17K |
| 93970 |
|
1,337 |
1,335 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,688 |
2,937 |
$15K |
| 29581 |
|
909 |
430 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
946 |
519 |
$8K |
| 36465 |
|
29 |
28 |
$8K |
| 93971 |
|
1,040 |
941 |
$7K |
| 93925 |
|
838 |
837 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
717 |
708 |
$3K |
| 99205 |
Prolong outpt/office vis |
304 |
304 |
$3K |
| 93922 |
|
764 |
763 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
74 |
$87.86 |
| 11043 |
|
20 |
12 |
$0.00 |