| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,096 |
1,979 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,424 |
2,197 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,520 |
1,268 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
540 |
539 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
421 |
421 |
$16K |
| 92133 |
|
154 |
152 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
85 |
81 |
$2K |
| 92083 |
|
121 |
121 |
$2K |
| 92136 |
|
41 |
41 |
$879.15 |
| 99243 |
|
42 |
42 |
$264.78 |
| 76514 |
|
13 |
12 |
$32.50 |
| 2023F |
|
14 |
14 |
$0.00 |