| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
68 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
47 |
$3K |
| 92286 |
|
50 |
50 |
$3K |
| 92133 |
|
67 |
63 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
50 |
$1K |
| 92250 |
|
80 |
77 |
$964.59 |
| 92020 |
|
60 |
56 |
$715.48 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$572.57 |
| 76514 |
|
57 |
56 |
$380.23 |
| 92202 |
|
13 |
13 |
$137.60 |
| 92145 |
|
17 |
16 |
$14.93 |