| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
845 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
270 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
53 |
$5K |
| 81025 |
|
464 |
407 |
$3K |
| 81002 |
|
821 |
528 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
40 |
40 |
$959.40 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$710.91 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$397.44 |
| 3008F |
|
280 |
226 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
612 |
509 |
$0.00 |
| 1036F |
|
155 |
133 |
$0.00 |
| 3074F |
|
143 |
122 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
45 |
41 |
$0.00 |
| 3079F |
|
28 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
823 |
694 |
$0.00 |
| 0502F |
|
282 |
184 |
$0.00 |
| 3078F |
|
93 |
81 |
$0.00 |
| 99072 |
|
58 |
50 |
$0.00 |
| 1160F |
|
62 |
54 |
$0.00 |