| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,907 |
1,553 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
381 |
289 |
$41K |
| 68761 |
|
777 |
292 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
266 |
$20K |
| 92134 |
|
1,227 |
935 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
157 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
110 |
82 |
$2K |
| 92133 |
|
117 |
92 |
$2K |
| 92083 |
|
76 |
56 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
250 |
167 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
115 |
81 |
$2K |
| 92136 |
|
30 |
26 |
$983.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$730.82 |
| 92250 |
|
25 |
18 |
$484.32 |
| 99072 |
|
30 |
27 |
$0.00 |