| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
828 |
810 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
862 |
853 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,186 |
1,128 |
$51K |
| 92134 |
|
833 |
818 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
395 |
394 |
$19K |
| 92133 |
|
481 |
472 |
$11K |
| 66821 |
|
40 |
29 |
$11K |
| 92250 |
|
75 |
73 |
$2K |
| 92083 |
|
58 |
58 |
$2K |
| 92136 |
|
59 |
28 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
55 |
54 |
$897.71 |