| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,622 |
6,800 |
$751K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,619 |
3,261 |
$240K |
| 99233 |
Prolong inpt eval add15 m |
2,845 |
766 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
964 |
959 |
$138K |
| 92134 |
|
3,004 |
2,747 |
$114K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
443 |
391 |
$59K |
| 92133 |
|
1,294 |
1,275 |
$44K |
| 92083 |
|
1,097 |
1,077 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
492 |
161 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
229 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
342 |
311 |
$22K |
| 92025 |
|
456 |
443 |
$14K |
| 99255 |
|
64 |
64 |
$11K |
| 99254 |
|
81 |
81 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
129 |
126 |
$10K |
| 92250 |
|
203 |
188 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
58 |
58 |
$5K |
| 92060 |
|
48 |
47 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
33 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$534.52 |