| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 17110 |
|
317 |
309 |
$6K |
| 17000 |
|
413 |
410 |
$3K |
| 17003 |
|
280 |
277 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
531 |
495 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
338 |
$613.45 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$137.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$80.11 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
62 |
$76.86 |