| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
798 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
915 |
$42K |
| 99442 |
|
307 |
297 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
104 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
564 |
564 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$721.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$709.00 |
| 81025 |
|
137 |
132 |
$428.87 |
| 57150 |
|
16 |
15 |
$393.89 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
517 |
517 |
$304.30 |
| 83986 |
|
45 |
45 |
$67.60 |
| 1160F |
|
57 |
56 |
$0.00 |
| 1159F |
|
63 |
61 |
$0.00 |