| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 520 | $970 | $499.9K |
| Q4173 | Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) | 640 | $750 | $479.8K |
| 97610 | The provider uses a low–frequency ultrasound device to try to improve wound healing. | 120 | $300 | $36.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 300 | $90 | $25.6K |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 110 | $100 | $11.3K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 70 | $120 | $8.4K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 80 | $100 | $8.4K |
| 11000 | The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface. | 230 | $30 | $7.7K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 80 | $80 | $5.9K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $140 | $2.1K |