| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
836 |
703 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
326 |
267 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
31 |
$2K |
| 81025 |
|
313 |
249 |
$1K |
| 59025 |
Fetal non-stress test |
13 |
12 |
$329.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
14 |
$142.40 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
48 |
33 |
$102.96 |
| 81003 |
|
41 |
32 |
$57.10 |