| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,911 |
1,908 |
$116K |
| 92250 |
|
3,026 |
3,021 |
$113K |
| 92225 |
|
652 |
635 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
799 |
797 |
$20K |
| 92100 |
|
340 |
340 |
$5K |
| 92226 |
|
78 |
78 |
$2K |
| 92202 |
|
13 |
13 |
$90.22 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,571 |
1,571 |
$26.00 |
| 2023F |
|
36 |
36 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
164 |
164 |
$0.00 |