| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
208 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
89 |
85 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
89 |
85 |
$3K |
| 87660 |
|
93 |
91 |
$2K |
| 87480 |
|
93 |
91 |
$2K |
| 87510 |
|
93 |
91 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$511.78 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$240.39 |
| 81025 |
|
12 |
12 |
$79.29 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
94 |
90 |
$0.00 |
| 1036F |
|
77 |
74 |
$0.00 |