| Code | Description | Claims | Beneficiaries | Total Paid |
| 92134 |
|
3,554 |
3,553 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,368 |
2,074 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
428 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
195 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
233 |
233 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
86 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
522 |
497 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
44 |
44 |
$6K |
| 92083 |
|
95 |
95 |
$5K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$694.49 |