| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,563 |
1,281 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
45 |
24 |
$1K |
| 11721 |
|
131 |
117 |
$1K |
| 11720 |
|
163 |
160 |
$809.52 |
| 1123F |
|
26 |
26 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |