| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,317 |
1,187 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
91 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
97 |
88 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45 |
42 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
68 |
$853.23 |
| 92083 |
|
29 |
24 |
$525.65 |