| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
596 |
$31K |
| 99385 |
|
144 |
144 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
606 |
604 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
612 |
610 |
$8K |
| 99386 |
|
34 |
34 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$673.14 |
| 87590 |
|
86 |
86 |
$578.50 |
| 87110 |
|
86 |
86 |
$421.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$367.30 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
49 |
$113.52 |
| 99072 |
|
33 |
32 |
$62.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
185 |
174 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
340 |
307 |
$0.00 |
| 0502F |
|
700 |
492 |
$0.00 |