| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
1,100 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
528 |
511 |
$24K |
| 92133 |
|
785 |
752 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
138 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
153 |
147 |
$7K |
| 92020 |
|
496 |
476 |
$7K |
| 92250 |
|
121 |
120 |
$4K |
| 92083 |
|
70 |
68 |
$3K |