| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
316 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$843.84 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
77 |
76 |
$769.86 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
68 |
$693.30 |
| 81003 |
|
356 |
278 |
$13.05 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
135 |
134 |
$0.00 |
| 88141 |
|
21 |
20 |
$0.00 |
| 0502F |
|
286 |
208 |
$0.00 |
| 59425 |
|
63 |
52 |
$0.00 |
| 99401 |
|
43 |
43 |
$0.00 |
| 59426 |
|
60 |
40 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
108 |
107 |
$0.00 |
| 81025 |
|
79 |
75 |
$0.00 |