| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
104 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
155 |
142 |
$3K |
| 92020 |
|
237 |
234 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
73 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
41 |
41 |
$2K |
| 92201 |
|
76 |
75 |
$1K |
| 92250 |
|
38 |
37 |
$1K |
| 92136 |
|
16 |
16 |
$493.26 |
| 92134 |
|
12 |
12 |
$283.82 |
| 92202 |
|
13 |
13 |
$199.21 |