| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
372 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
210 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
291 |
269 |
$4K |
| 92083 |
|
72 |
72 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
46 |
44 |
$489.28 |
| 92133 |
|
42 |
41 |
$193.67 |