| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
352 |
$13K |
| 92250 |
|
320 |
290 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
478 |
396 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
110 |
$3K |
| 92134 |
|
211 |
194 |
$1K |
| 92025 |
|
186 |
171 |
$565.11 |
| 92133 |
|
30 |
26 |
$285.20 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
15 |
$157.15 |
| 92020 |
|
18 |
17 |
$38.19 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$4.20 |