| Code | Description | Claims | Beneficiaries | Total Paid |
| 11422 |
|
6,510 |
5,810 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,476 |
4,516 |
$238K |
| 11421 |
|
4,954 |
4,345 |
$104K |
| 11721 |
|
5,080 |
4,676 |
$79K |
| 11730 |
|
5,192 |
4,610 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
759 |
706 |
$57K |
| 97597 |
|
4,240 |
1,549 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
2,309 |
452 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
736 |
$17K |
| 11423 |
|
70 |
63 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
198 |
54 |
$2K |
| 28190 |
|
12 |
12 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
76 |
45 |
$592.71 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$155.23 |
| 29540 |
|
13 |
12 |
$142.53 |