| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
361 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
47 |
46 |
$848.82 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
42 |
41 |
$827.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$510.74 |
| 81025 |
|
18 |
18 |
$146.99 |
| 0502F |
|
255 |
193 |
$0.00 |