| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$481.89 |
| 99402 |
|
29 |
29 |
$196.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$133.32 |
| 81002 |
|
29 |
29 |
$50.46 |
| 81025 |
|
13 |
13 |
$30.17 |
| G8708 |
Patient not prescribed antibiotic |
28 |
28 |
$0.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
46 |
44 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$0.00 |
| 2010F |
|
29 |
29 |
$0.00 |
| 2000F |
|
29 |
29 |
$0.00 |
| 2001F |
|
29 |
29 |
$0.00 |