| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,823 |
2,697 |
$178K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,582 |
1,566 |
$86K |
| 92133 |
|
1,983 |
1,967 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
274 |
274 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
822 |
778 |
$33K |
| 92020 |
|
1,896 |
1,890 |
$30K |
| 92083 |
|
463 |
461 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
135 |
$7K |
| 92134 |
|
323 |
323 |
$7K |