| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,003 |
4,732 |
$113K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
959 |
913 |
$48K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
158 |
153 |
$856.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
24 |
$834.20 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
32 |
13 |
$570.76 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
13 |
$89.82 |