| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
768 |
645 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
416 |
329 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
72 |
$2K |
| 81025 |
|
352 |
285 |
$2K |
| 59025 |
Fetal non-stress test |
20 |
13 |
$575.11 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
31 |
$527.80 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
43 |
30 |
$109.26 |
| 81003 |
|
16 |
14 |
$23.49 |