| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
386 |
336 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
446 |
395 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
52 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
89 |
$3K |
| 92133 |
|
17 |
12 |
$241.03 |
| 92202 |
|
28 |
28 |
$224.48 |
| 92083 |
|
13 |
12 |
$216.50 |
| 92226 |
|
30 |
13 |
$25.32 |