| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
384 |
269 |
$551.70 |
| 99215 |
Prolong outpt/office vis |
2,986 |
2,476 |
$214.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
63 |
$130.00 |
| 99385 |
|
54 |
54 |
$29.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,377 |
1,168 |
$2.00 |
| 88150 |
|
627 |
619 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
63 |
42 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,113 |
909 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
95 |
95 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
139 |
139 |
$0.00 |
| 99397 |
|
143 |
142 |
$0.00 |