| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
253 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
121 |
118 |
$2K |
| 92250 |
|
95 |
91 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$422.57 |
| 83861 |
|
95 |
52 |
$128.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$90.57 |