| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
352 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
177 |
145 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
77 |
72 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$1K |