| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
244 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
417 |
343 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
120 |
$7K |
| 73630 |
|
216 |
139 |
$3K |
| 11721 |
|
159 |
138 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$810.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
38 |
$683.76 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
38 |
25 |
$674.52 |