| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
72 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
83 |
$6K |
| 11721 |
|
552 |
518 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
29 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$803.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
25 |
$666.99 |
| 99341 |
|
26 |
26 |
$617.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$550.36 |
| 73630 |
|
12 |
12 |
$230.38 |