| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,794 |
1,713 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
518 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
492 |
491 |
$49K |
| 87110 |
|
2,799 |
2,794 |
$27K |
| 88142 |
|
1,015 |
1,014 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
222 |
$11K |
| 99385 |
|
94 |
94 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
203 |
203 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
244 |
244 |
$4K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$3K |
| 99386 |
|
25 |
25 |
$2K |
| 99403 |
|
34 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,526 |
1,508 |
$1K |
| 81002 |
|
208 |
206 |
$420.87 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
13 |
13 |
$339.74 |
| 81025 |
|
41 |
41 |
$250.83 |
| 82270 |
|
60 |
60 |
$124.17 |
| 87081 |
|
17 |
17 |
$104.40 |
| 87077 |
|
13 |
13 |
$92.03 |
| 1111F |
|
28 |
28 |
$0.00 |