| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,405 |
2,888 |
$158K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
473 |
472 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
90 |
$8K |
| 99401 |
|
63 |
61 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
407 |
406 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 81025 |
|
268 |
260 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$965.36 |
| 99386 |
|
12 |
12 |
$756.00 |
| 99441 |
|
12 |
12 |
$389.25 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
32 |
$8.64 |
| 1036F |
|
51 |
48 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
20 |
17 |
$0.00 |