| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
3,702 |
3,068 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
292 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,197 |
1,126 |
$7K |
| 99442 |
|
1,735 |
1,640 |
$700.69 |
| 99205 |
Prolong outpt/office vis |
94 |
94 |
$250.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
76 |
$230.65 |
| 99441 |
|
208 |
182 |
$182.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
83 |
83 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
700 |
668 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
94 |
$0.00 |