| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,132 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
840 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
396 |
$60K |
| 92060 |
|
1,289 |
1,208 |
$60K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,359 |
1,775 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
750 |
541 |
$7K |
| 92133 |
|
506 |
414 |
$5K |
| 92083 |
|
135 |
109 |
$996.06 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
52 |
$704.88 |
| 92134 |
|
66 |
57 |
$565.82 |
| 92136 |
|
39 |
25 |
$10.54 |