| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
547 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
310 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
201 |
$11K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
13 |
$431.88 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
13 |
$217.14 |
| 0501F |
|
674 |
417 |
$0.00 |