| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
1,012 |
780 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
274 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
111 |
$5K |
| 11730 |
|
126 |
89 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
13 |
$1K |
| 11732 |
|
83 |
57 |
$908.10 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
58 |
25 |
$830.80 |
| 73630 |
|
41 |
13 |
$767.79 |
| 11056 |
|
37 |
30 |
$651.18 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
22 |
$238.08 |