| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,626 |
1,368 |
$71K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
120 |
119 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$3K |
| 88150 |
|
94 |
90 |
$966.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
17 |
$399.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$260.50 |
| 87110 |
|
13 |
13 |
$219.34 |
| 88142 |
|
13 |
13 |
$210.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$182.00 |