| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,037 |
3,465 |
$183K |
| 92250 |
|
2,193 |
2,045 |
$95K |
| 92134 |
|
2,493 |
2,033 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
229 |
213 |
$11K |
| 92202 |
|
841 |
579 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
80 |
65 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
567 |
508 |
$5K |
| 92273 |
|
182 |
177 |
$4K |
| 99072 |
|
14 |
14 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$0.00 |