| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 6,260 | $920 | $5.8M |
| Q4253 | Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 3,210 | $760 | $2.4M |
| 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… | 860 | $80 | $69.6K |
| 97610 | The provider uses a low–frequency ultrasound device to try to improve wound healing. | 90 | $280 | $26.3K |
| 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. | 270 | $90 | $24.9K |
| 15275 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to… | 60 | $100 | $6.1K |
| 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 | $5.1K |
| 15272 | At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider… | 60 | $20 | $1K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 20 | $30 | $530 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 10 | $20 | $270 |