| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
570 |
566 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
119 |
118 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
113 |
112 |
$2K |
| 92025 |
|
363 |
286 |
$346.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
79 |
$261.63 |
| 92083 |
|
12 |
12 |
$84.33 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
30 |
$45.46 |
| 99058 |
|
40 |
39 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
37 |
$0.00 |