| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
363 |
334 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
308 |
279 |
$12K |
| 92133 |
|
176 |
160 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
68 |
56 |
$3K |
| 92083 |
|
45 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
31 |
$1K |
| 92020 |
|
13 |
12 |
$188.80 |
| 92145 |
|
14 |
14 |
$23.96 |