| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,870 |
2,226 |
$223K |
| 99401 |
|
4,444 |
3,117 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
587 |
$72K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,088 |
1,062 |
$21K |
| 87660 |
|
1,113 |
1,087 |
$14K |
| 87510 |
|
1,056 |
1,028 |
$13K |
| 87480 |
|
1,053 |
1,026 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
405 |
402 |
$9K |
| 87490 |
|
849 |
833 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
66 |
$4K |
| 87110 |
|
226 |
223 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 81002 |
|
314 |
295 |
$580.56 |
| 87210 |
|
119 |
118 |
$218.49 |
| 81025 |
|
96 |
92 |
$177.14 |
| 99000 |
|
492 |
466 |
$0.00 |