| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
563 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
621 |
540 |
$36K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
87 |
$14K |
| 81025 |
|
1,275 |
1,256 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
238 |
238 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
260 |
259 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
70 |
$8K |
| 81003 |
|
930 |
906 |
$2K |
| 99401 |
|
16 |
12 |
$587.78 |