| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
2,208 |
2,192 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
413 |
$4K |
| 11056 |
|
247 |
240 |
$913.91 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
20 |
13 |
$564.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
65 |
$563.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$238.48 |
| 97597 |
|
26 |
15 |
$77.54 |