| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
742 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
173 |
172 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
124 |
122 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
50 |
49 |
$7K |
| 92133 |
|
153 |
153 |
$5K |
| 92250 |
|
69 |
69 |
$2K |
| 92083 |
|
40 |
40 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |