| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
225 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
123 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
71 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
65 |
65 |
$2K |
| 81025 |
|
287 |
234 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$299.61 |
| 81003 |
|
64 |
30 |
$114.78 |
| 0502F |
|
1,042 |
690 |
$0.00 |
| 0500F |
|
15 |
15 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$0.00 |