| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
156 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
75 |
74 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
25 |
$775.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
62 |
$769.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$285.00 |
| 81025 |
|
67 |
63 |
$119.57 |
| 0502F |
|
178 |
147 |
$0.00 |
| 0500F |
|
16 |
13 |
$0.00 |