| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
50 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
765 |
689 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
247 |
227 |
$3K |
| 81025 |
|
15 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
15 |
$657.44 |
| 90658 |
|
16 |
15 |
$412.78 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
26 |
$260.62 |
| 81002 |
|
28 |
24 |
$27.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
17 |
$0.00 |