| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,232 |
1,944 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
905 |
872 |
$38K |
| 11721 |
|
1,796 |
1,748 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
304 |
$11K |
| 11720 |
|
2,531 |
2,495 |
$11K |
| 11056 |
|
571 |
554 |
$5K |
| 11719 |
|
2,220 |
2,192 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
184 |
$3K |
| 97597 |
|
115 |
75 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
63 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$1K |
| 11055 |
|
164 |
151 |
$1K |
| 11730 |
|
17 |
13 |
$717.86 |
| A4550 |
Surgical trays |
21 |
16 |
$0.00 |