| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
476 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
203 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
108 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$828.00 |
| 11721 |
|
38 |
38 |
$299.42 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
14 |
12 |
$286.40 |
| 3061F |
|
177 |
162 |
$0.00 |
| 4010F |
|
42 |
39 |
$0.00 |