| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
2,073 |
$136K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
537 |
537 |
$46K |
| 59025 |
Fetal non-stress test |
477 |
310 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
181 |
181 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
327 |
327 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
34 |
$4K |
| 99459 |
|
79 |
79 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
60 |
60 |
$964.88 |
| 81025 |
|
14 |
14 |
$38.45 |