| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,210 |
1,099 |
$45K |
| 92133 |
|
688 |
682 |
$12K |
| 92083 |
|
208 |
206 |
$5K |
| 92020 |
|
433 |
432 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
68 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
24 |
$664.95 |
| 92202 |
|
59 |
57 |
$308.76 |
| 76514 |
|
25 |
25 |
$201.99 |
| 92226 |
|
12 |
12 |
$108.60 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
38 |
28 |
$101.84 |