| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,395 |
2,910 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
802 |
730 |
$77K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
806 |
806 |
$28K |
| 99443 |
|
249 |
239 |
$27K |
| 99401 |
|
738 |
693 |
$17K |
| 87110 |
|
1,985 |
1,977 |
$15K |
| 87625 |
|
683 |
683 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
113 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$4K |
| 88150 |
|
172 |
172 |
$2K |
| 99442 |
|
28 |
26 |
$2K |
| 96127 |
|
298 |
298 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
69 |
69 |
$1K |
| 99459 |
|
17 |
17 |
$304.35 |
| 81002 |
|
141 |
137 |
$252.42 |
| 81025 |
|
86 |
85 |
$156.02 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
832 |
831 |
$104.82 |
| 36415 |
Collection of venous blood by venipuncture |
1,153 |
1,111 |
$77.32 |
| 87071 |
|
241 |
240 |
$16.02 |
| 99000 |
|
2,288 |
2,219 |
$0.00 |