| Code | Description | Claims | Beneficiaries | Total Paid |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
289 |
111 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
224 |
$8K |
| 11721 |
|
340 |
322 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
131 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
55 |
$1K |
| 11056 |
|
14 |
12 |
$229.22 |