| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 740 | $1,040 | $767.4K |
| Q4253 | Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 810 | $560 | $450.9K |
| 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. | 330 | $80 | $27K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 370 | $50 | $17.6K |
| 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. | 120 | $100 | $11.2K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 30 | $40 | $1.5K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 30 | $50 | $1.2K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 20 | $50 | $780 |