| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
115 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
152 |
114 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
105 |
94 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
48 |
$4K |
| 92020 |
|
156 |
134 |
$3K |
| 92133 |
|
118 |
95 |
$2K |
| 92083 |
|
43 |
39 |
$1K |
| 92228 |
|
36 |
29 |
$457.02 |