| Code | Description | Claims | Beneficiaries | Total Paid |
| 92134 |
|
700 |
609 |
$13K |
| 92201 |
|
196 |
174 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
47 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34 |
28 |
$690.78 |
| 92202 |
|
67 |
61 |
$466.30 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
14 |
$234.20 |