| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,203 |
1,160 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
356 |
350 |
$29K |
| 92134 |
|
940 |
927 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
709 |
$21K |
| 92133 |
|
471 |
463 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
122 |
121 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
261 |
259 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$517.20 |
| 76514 |
|
13 |
13 |
$118.21 |