| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,248 |
3,135 |
$222K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
919 |
901 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
989 |
945 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
423 |
416 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
266 |
$15K |
| 99386 |
|
13 |
13 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
85 |
76 |
$435.81 |
| S9999 |
Sales tax |
28 |
26 |
$0.00 |