| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
231 |
$14K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
125 |
102 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
58 |
40 |
$737.01 |
| 81025 |
|
137 |
118 |
$666.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$233.90 |
| 0502F |
|
533 |
335 |
$0.00 |