| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
775 |
753 |
$22K |
| 92250 |
|
782 |
775 |
$20K |
| 92083 |
|
280 |
272 |
$10K |
| 92134 |
|
407 |
402 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
405 |
398 |
$4K |
| 92133 |
|
123 |
121 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
51 |
$2K |
| 92284 |
|
25 |
25 |
$858.02 |
| 99215 |
Prolong outpt/office vis |
83 |
82 |
$511.80 |
| 83861 |
|
12 |
12 |
$14.80 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
26 |
$0.00 |