| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,048 |
2,010 |
$4K |
| 96156 |
|
1,596 |
1,591 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
950 |
938 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
488 |
487 |
$2K |
| 99385 |
|
263 |
263 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
466 |
$688.40 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
320 |
320 |
$662.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
294 |
294 |
$591.57 |
| 1111F |
|
2,763 |
2,567 |
$567.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$443.24 |
| 1159F |
|
2,970 |
2,835 |
$266.10 |
| 3008F |
|
2,645 |
2,569 |
$233.97 |
| 96127 |
|
339 |
337 |
$199.19 |
| 99386 |
|
46 |
46 |
$86.25 |
| 99000 |
|
332 |
330 |
$10.45 |
| 3078F |
|
264 |
262 |
$0.00 |
| 1160F |
|
2,966 |
2,832 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
202 |
201 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
192 |
191 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 1125F |
|
314 |
311 |
$0.00 |
| 1126F |
|
627 |
626 |
$0.00 |
| 3079F |
|
145 |
144 |
$0.00 |
| 3074F |
|
318 |
314 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3075F |
|
54 |
54 |
$0.00 |