| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,752 |
1,751 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
866 |
865 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,018 |
1,916 |
$37K |
| 92133 |
|
1,347 |
1,343 |
$33K |
| 92083 |
|
1,328 |
1,328 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
825 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
556 |
540 |
$19K |
| 66761 |
|
87 |
53 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
265 |
265 |
$10K |
| 76514 |
|
61 |
61 |
$1K |
| 92020 |
|
49 |
49 |
$1K |