| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
302 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$5K |
| 99385 |
|
30 |
30 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
116 |
115 |
$2K |
| 99459 |
|
14 |
14 |
$131.29 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
14 |
14 |
$116.06 |
| 81025 |
|
24 |
24 |
$80.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
124 |
123 |
$0.00 |