| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
860 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
981 |
856 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
509 |
442 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
499 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
37 |
24 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$966.93 |
| 92250 |
|
27 |
27 |
$814.67 |
| 92285 |
|
16 |
16 |
$236.96 |