| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,754 |
1,436 |
$119K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
266 |
265 |
$30K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
913 |
907 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
294 |
$22K |
| 87490 |
|
562 |
561 |
$8K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
25 |
25 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
392 |
388 |
$3K |
| 81000 |
|
597 |
398 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$918.09 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$875.55 |
| 36415 |
Collection of venous blood by venipuncture |
891 |
884 |
$482.56 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |