| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,168 |
1,032 |
$58K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
219 |
219 |
$16K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
741 |
740 |
$12K |
| 99442 |
|
191 |
186 |
$11K |
| 99441 |
|
199 |
193 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$6K |
| 99386 |
|
60 |
60 |
$3K |
| 99487 |
Ccm add 20min |
40 |
40 |
$1K |
| 99385 |
|
30 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
674 |
673 |
$314.19 |
| 81025 |
|
51 |
50 |
$213.10 |