| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,137 |
2,219 |
$171K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
600 |
546 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
44 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
68 |
59 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
28 |
$388.48 |