| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
253 |
101 |
$337K |
| Q4205 |
Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) |
32 |
14 |
$89K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
235 |
96 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
202 |
$8K |
| 93970 |
|
78 |
78 |
$5K |
| 93971 |
|
89 |
67 |
$3K |
| 15271 |
|
306 |
114 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
101 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
60 |
$2K |