| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,454 |
1,452 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,100 |
1,086 |
$58K |
| 92285 |
|
3,284 |
3,245 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
892 |
819 |
$34K |
| 83861 |
|
1,965 |
1,111 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
326 |
323 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
493 |
$18K |
| 67904 |
|
37 |
37 |
$16K |
| 92082 |
|
182 |
181 |
$4K |
| 99072 |
|
63 |
62 |
$0.00 |