Assuming the ob/gyn performed not just a "pelvic exam" but an actual annual well woman exam (of which the pelvic exam is a part), the ob/gyn should also bill a 99381-99397, but with the appropriate well woman annual exam diagnosis Z01.411 or Z01.419. Most insurances will not have any issue with this. Occasionally you may need to write a letter explaining. And Q0091 for PAP. For Medicare, look at G0101.