| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,143 |
2,409 |
$70K |
| 11721 |
|
6,175 |
4,808 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
736 |
635 |
$31K |
| 11750 |
|
424 |
296 |
$29K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
53 |
48 |
$23K |
| 73630 |
|
1,170 |
768 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
819 |
639 |
$13K |
| A4452 |
Tape, waterproof, per 18 square inches |
70 |
61 |
$631.37 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
13 |
$521.76 |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
87 |
79 |
$381.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$365.18 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
91 |
81 |
$315.26 |