| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
252 |
$19K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
130 |
130 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$2K |
| 99401 |
|
59 |
57 |
$2K |
| 81025 |
|
89 |
86 |
$410.00 |
| 1111F |
|
349 |
304 |
$376.89 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
14 |
13 |
$110.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
279 |
249 |
$4.50 |
| 3028F |
|
26 |
26 |
$0.00 |
| 99080 |
|
144 |
42 |
$0.00 |
| 1036F |
|
365 |
316 |
$0.00 |
| 94760 |
|
114 |
108 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
27 |
27 |
$0.00 |