| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
557 |
409 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
193 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
91 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
33 |
$592.20 |
| 81025 |
|
128 |
110 |
$496.80 |
| 81002 |
|
163 |
123 |
$276.50 |