| 15100 | This procedure is a split–thickness autograft from the trunk, arms, or legs. This excision and placement is for the first 100 cm2 or less or one percent of the body area of an infant or child. | 30 | $520 | $16K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 150 | $60 | $8.9K |
| 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… | 180 | $50 | $8.5K |
| 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… | 90 | $70 | $6.5K |
| 15101 | This procedure is a split–thickness autograft from the trunk, arms, or legs. This excision and placement is for each additional 100 cm2 or less or each additional one percent of the body area of an… | 80 | $80 | $6.4K |
| 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,… | 40 | $160 | $5.7K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 40 | $90 | $3.5K |
| 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.… | 100 | $30 | $3.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 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… | 30 | $100 | $2.8K |