| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
281 |
281 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
215 |
215 |
$34K |
| 92250 |
|
454 |
454 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
82 |
81 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
60 |
$8K |
| 92020 |
|
275 |
275 |
$7K |
| 92225 |
|
112 |
109 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$2K |
| 92134 |
|
13 |
13 |
$476.26 |
| 99072 |
|
110 |
107 |
$246.00 |