| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
561 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
480 |
480 |
$6K |
| 92250 |
|
342 |
342 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
139 |
136 |
$875.27 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$572.44 |
| 92133 |
|
24 |
24 |
$128.01 |