| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,566 |
1,216 |
$119K |
| 99401 |
|
2,226 |
1,599 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
95 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
143 |
141 |
$7K |
| 87660 |
|
454 |
444 |
$6K |
| 87510 |
|
454 |
444 |
$6K |
| 87480 |
|
453 |
443 |
$6K |
| 87490 |
|
670 |
641 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
67 |
$3K |
| 87210 |
|
217 |
209 |
$709.53 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
140 |
138 |
$260.56 |
| 81002 |
|
16 |
16 |
$27.64 |
| 81025 |
|
12 |
12 |
$22.00 |
| 99000 |
|
12 |
12 |
$0.00 |