| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
388 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
73 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
108 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
47 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
123 |
121 |
$3K |
| 87797 |
|
102 |
98 |
$1K |
| 87510 |
|
102 |
98 |
$1K |
| 87480 |
|
102 |
98 |
$1K |
| 81002 |
|
40 |
40 |
$58.45 |