| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
671 |
660 |
$25K |
| 92083 |
|
490 |
489 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
328 |
324 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
379 |
371 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
159 |
$7K |
| 92133 |
|
452 |
448 |
$7K |
| 92202 |
|
729 |
721 |
$4K |
| 92020 |
|
227 |
226 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$1K |
| 92226 |
|
180 |
107 |
$1K |
| 92250 |
|
48 |
48 |
$883.75 |