| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
383 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
135 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
130 |
127 |
$1K |
| 81003 |
|
292 |
244 |
$17.81 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
538 |
530 |
$0.00 |
| 88141 |
|
39 |
39 |
$0.00 |
| 81025 |
|
149 |
147 |
$0.00 |
| 0502F |
|
236 |
187 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
167 |
165 |
$0.00 |
| 59426 |
|
69 |
54 |
$0.00 |
| 59425 |
|
58 |
51 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
37 |
$0.00 |