| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,407 |
1,456 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
310 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
114 |
$8K |
| 81002 |
|
646 |
386 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
78 |
77 |
$436.26 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
38 |
$6.00 |