| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,977 |
9,045 |
$691K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,399 |
1,398 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
702 |
702 |
$61K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,899 |
2,897 |
$42K |
| 81025 |
|
3,950 |
3,840 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,313 |
2,308 |
$13K |
| 81002 |
|
4,592 |
4,485 |
$8K |
| 99401 |
|
476 |
459 |
$8K |
| 99385 |
|
57 |
57 |
$5K |
| 99386 |
|
39 |
39 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
47 |
$4K |
| 99000 |
|
4,854 |
4,700 |
$3K |
| 36410 |
|
92 |
92 |
$479.27 |
| 88150 |
|
43 |
43 |
$461.89 |
| A4930 |
Gloves, sterile, per pair |
4,261 |
4,099 |
$334.67 |
| 36415 |
Collection of venous blood by venipuncture |
804 |
773 |
$256.01 |
| 87110 |
|
84 |
84 |
$0.76 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
64 |
64 |
$0.00 |