| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,106 |
6,759 |
$465K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
822 |
822 |
$76K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,404 |
2,404 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
658 |
658 |
$57K |
| 99386 |
|
408 |
408 |
$45K |
| 99385 |
|
94 |
94 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
62 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,935 |
1,935 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 99072 |
|
90 |
87 |
$420.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
39 |
38 |
$406.25 |
| 99459 |
|
13 |
13 |
$256.04 |
| 36415 |
Collection of venous blood by venipuncture |
2,415 |
2,339 |
$203.58 |
| 81025 |
|
13 |
12 |
$43.08 |