| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,978 |
2,528 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,498 |
2,021 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
818 |
735 |
$66K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,128 |
1,081 |
$47K |
| 81025 |
|
2,008 |
1,859 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
215 |
202 |
$13K |
| 99459 |
|
209 |
191 |
$3K |
| 59514 |
|
13 |
13 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
39 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
109 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
313 |
285 |
$1K |
| 59025 |
Fetal non-stress test |
18 |
12 |
$401.40 |
| S9999 |
Sales tax |
2,111 |
1,409 |
$136.36 |
| 0502F |
|
327 |
224 |
$0.00 |