| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
220 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$4K |
| 99442 |
|
60 |
59 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
133 |
133 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$1K |
| 99386 |
|
21 |
21 |
$907.67 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$895.55 |
| 57410 |
|
15 |
14 |
$691.44 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
70 |
64 |
$573.26 |
| 99072 |
|
180 |
173 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
113 |
113 |
$0.00 |