| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 440 | $1,090 | $484K |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) | 350 | $960 | $335.2K |
| A2005 | Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 1,050 | $180 | $184.8K |
| 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… | 480 | $120 | $59.4K |
| 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… | 680 | $80 | $57K |
| 97610 | The provider uses a low–frequency ultrasound device to try to improve wound healing. | 120 | $270 | $32.7K |
| 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. | 150 | $100 | $14.6K |
| 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 | $6.7K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 100 | $60 | $6.7K |
| 99344 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least… | 60 | $90 | $5.8K |