| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,368 |
1,351 |
$48K |
| 92134 |
|
1,629 |
1,594 |
$15K |
| 92201 |
|
2,611 |
2,380 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
287 |
$12K |
| 92083 |
|
1,171 |
1,166 |
$10K |
| 92020 |
|
2,274 |
2,113 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$5K |
| 92133 |
|
409 |
409 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
150 |
142 |
$2K |
| 92250 |
|
33 |
32 |
$1K |
| 92225 |
|
141 |
72 |
$875.76 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
253 |
239 |
$645.16 |
| 92015 |
Determination of refractive state |
39 |
39 |
$488.89 |
| 92226 |
|
31 |
16 |
$178.56 |
| 76514 |
|
152 |
152 |
$177.58 |