| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
936 |
$22K |
| 92083 |
|
392 |
362 |
$6K |
| 92285 |
|
290 |
271 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
42 |
$2K |
| 92133 |
|
143 |
129 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
61 |
54 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$374.47 |
| 92020 |
|
40 |
37 |
$361.72 |
| 92134 |
|
15 |
13 |
$15.96 |