| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
449 |
413 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
151 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
154 |
153 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
64 |
$3K |
| 92226 |
|
54 |
28 |
$1K |
| 92201 |
|
143 |
141 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$846.96 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
36 |
33 |
$0.00 |
| 2026F |
|
49 |
37 |
$0.00 |