| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
389 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
200 |
$9K |
| 92201 |
|
626 |
623 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
535 |
502 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
285 |
285 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
143 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
141 |
141 |
$1K |
| 92133 |
|
57 |
57 |
$229.21 |
| 92134 |
|
77 |
76 |
$193.19 |
| 92083 |
|
13 |
13 |
$75.41 |
| 2022F |
|
181 |
181 |
$0.00 |