| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
809 |
$25K |
| 76881 |
|
392 |
219 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
156 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
64 |
$7K |
| 11721 |
|
365 |
335 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
12 |
$803.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
25 |
$415.29 |