| Q4132 | Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) | 1,640 | $250 | $416.6K |
| 13160 | This procedure is performed on sites of injury such as abdominal wounds and/or contaminated lacerations to avoid infection and re–epithelialize new tissue. | 30 | $580 | $17.3K |
| 15002 | The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,… | 50 | $200 | $10.3K |
| 15004 | The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,… | 30 | $230 | $6.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $80 | $3.9K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 30 | $100 | $3K |
| 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… | 20 | $150 | $2.5K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 40 | $60 | $2.3K |
| 15003 | At the same encounter that the provider prepares 100 cm2 of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft, he extends the site up to an additional 100 cm2.… | 40 | $40 | $1.6K |
| 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. | 30 | $40 | $1K |