| Q4263 | Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) | 1,110 | $780 | $867.4K |
| Q4184 | Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) | 1,270 | $460 | $587.7K |
| Q4267 | Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) | 600 | $630 | $377.3K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,130 | $50 | $59.8K |
| 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. | 570 | $70 | $38.4K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 500 | $80 | $37.9K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 280 | $130 | $37.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 390 | $90 | $35.1K |
| 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… | 120 | $90 | $10.7K |
| 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. | 80 | $110 | $9.6K |