| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
136 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
140 |
113 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
136 |
109 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
46 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$538.99 |
| 81025 |
|
102 |
80 |
$395.85 |
| 0502F |
|
450 |
272 |
$0.00 |