| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
705 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
154 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
125 |
$3K |
| 99243 |
|
25 |
24 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
27 |
$890.93 |
| 92133 |
|
51 |
51 |
$596.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$402.95 |
| 92083 |
|
14 |
12 |
$278.95 |
| 92134 |
|
17 |
17 |
$133.28 |
| 99072 |
|
92 |
77 |
$0.00 |