| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
350 |
$16K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
135 |
133 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
162 |
135 |
$958.99 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$544.81 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$437.70 |
| 99459 |
|
18 |
18 |
$148.12 |
| 81025 |
|
15 |
15 |
$47.58 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
125 |
124 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |