| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,171 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
741 |
712 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
254 |
253 |
$13K |
| 92083 |
|
391 |
389 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
182 |
$8K |
| 92133 |
|
359 |
355 |
$6K |
| 92020 |
|
324 |
318 |
$3K |
| 92250 |
|
25 |
25 |
$620.90 |
| 92015 |
Determination of refractive state |
39 |
39 |
$344.23 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$0.00 |