| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
315 |
315 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
786 |
$538.70 |
| 92250 |
|
359 |
359 |
$347.29 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
245 |
245 |
$284.95 |
| 92133 |
|
37 |
37 |
$125.78 |
| 92083 |
|
27 |
27 |
$54.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
20 |
$0.00 |
| 92020 |
|
12 |
12 |
$0.00 |