| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
197 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
60 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
186 |
182 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
63 |
63 |
$1K |
| 92083 |
|
13 |
13 |
$215.05 |
| 92250 |
|
12 |
12 |
$89.41 |