| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
445 |
398 |
$14K |
| 99442 |
|
234 |
229 |
$11K |
| 99441 |
|
262 |
245 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
52 |
$4K |
| 99385 |
|
87 |
87 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
325 |
324 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$958.05 |
| 99386 |
|
17 |
17 |
$571.76 |
| 81025 |
|
49 |
49 |
$169.40 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
325 |
324 |
$42.84 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
79 |
$2.40 |