| Q4205 | Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) | 2,210 | $1,090 | $2.4M |
| Q4221 | Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) | 690 | $990 | $685.8K |
| Q4204 | Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) | 420 | $1,080 | $453.2K |
| Q4250 | Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) | 180 | $1,290 | $238.1K |
| 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… | 250 | $50 | $13.5K |
| 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 |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 50 | $170 | $9.3K |
| 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. | 60 | $100 | $6K |
| 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… | 40 | $50 | $2.3K |
| 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… | 20 | $90 | $1.7K |