| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
168 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
112 |
112 |
$8K |
| 92083 |
|
116 |
116 |
$4K |
| 92133 |
|
98 |
98 |
$4K |
| 92250 |
|
67 |
67 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
35 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
62 |
62 |
$3K |
| 92134 |
|
25 |
25 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$701.72 |
| 92020 |
|
24 |
24 |
$670.66 |
| 76514 |
|
17 |
17 |
$184.88 |