| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
975 |
964 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
567 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649 |
598 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
279 |
276 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
82 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
61 |
$2K |
| 92136 |
|
54 |
48 |
$816.01 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$662.60 |
| 92133 |
|
24 |
24 |
$499.63 |
| 92020 |
|
25 |
25 |
$361.58 |
| 76514 |
|
15 |
13 |
$90.19 |