| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,217 |
2,649 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,072 |
923 |
$67K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
842 |
841 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
230 |
219 |
$17K |
| 87110 |
|
982 |
978 |
$7K |
| 99401 |
|
183 |
170 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
619 |
618 |
$4K |
| 99385 |
|
14 |
14 |
$1K |
| 96127 |
|
179 |
178 |
$630.31 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$306.35 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
13 |
$240.28 |
| 36415 |
Collection of venous blood by venipuncture |
476 |
460 |
$172.19 |
| 81025 |
|
12 |
12 |
$30.48 |
| 81002 |
|
13 |
13 |
$13.14 |
| 99000 |
|
624 |
623 |
$0.00 |
| 0502F |
|
38 |
28 |
$0.00 |