| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,102 |
1,787 |
$47K |
| 11043 |
|
380 |
297 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
132 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
251 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
95 |
94 |
$3K |
| 93990 |
|
50 |
45 |
$2K |
| 93971 |
|
25 |
25 |
$849.30 |
| 93926 |
|
28 |
27 |
$787.39 |
| 93970 |
|
12 |
12 |
$748.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$675.40 |
| 76937 |
|
43 |
39 |
$147.66 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
13 |
$118.10 |
| 4004F |
|
248 |
218 |
$0.00 |
| 1036F |
|
1,258 |
1,038 |
$0.00 |