| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
133 |
$2K |
| 0002A |
|
33 |
33 |
$1K |
| 0001A |
|
32 |
32 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
257 |
$408.23 |
| G9920 |
Screening performed and negative |
73 |
73 |
$87.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
96 |
91 |
$50.00 |
| 92551 |
|
63 |
63 |
$33.06 |
| 90649 |
|
12 |
12 |
$27.00 |
| 92015 |
Determination of refractive state |
58 |
58 |
$23.79 |
| 85018 |
|
94 |
94 |
$4.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
73 |
73 |
$0.00 |
| 3074F |
|
83 |
83 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
73 |
73 |
$0.00 |
| 81000 |
|
46 |
46 |
$0.00 |
| 4245F |
|
13 |
13 |
$0.00 |
| 3078F |
|
125 |
124 |
$0.00 |
| 96160 |
|
40 |
40 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 1033F |
|
72 |
72 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 1003F |
|
61 |
61 |
$0.00 |