Veerabagu SA, Cheng B, Wang S, et al. - Patients in this cross-sectional analysis of Mohs micrographic surgery claims had less postsurgery opioid prescriptions over the research period, indicating patient and dermatologic surgeon responsiveness to public health concerns about the opioid epidemic. Prescriptions for hydrocodone dropped but tramadol rose over this period of decline.

• From 2009 (34.6%) to 2011 (39.6%), the proportion of patients receiving an opioid prescription after Mohs micrographic surgery increased among 358,012 patients with Mohs micrographic surgery claims (mean [SD] age, 69 [13] years; 205 609 [57.4%] were men).

• The percentage fell each year after that, reaching a low of 11.7% in 2020 (27.9% absolute decrease from 2011 to 2020).

• The 4 most regularly given opioids were hydrocodone, codeine, oxycodone, and tramadol.

• Hydrocodone was obtained less in 2020 (2009: 47.5%; 2011: 67.1%; 2020: 45.4%; 21.7% absolute decrease from 2011 to 2020) while tramadol was obtained more (2009: 1.6%; 2020: 27.9%; 26.3% absolute increase from 2009 to 2020).