| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
800 |
795 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
236 |
$14K |
| 92133 |
|
304 |
302 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
68 |
68 |
$4K |
| 92250 |
|
213 |
212 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$570.80 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$521.26 |
| 76514 |
|
12 |
12 |
$64.17 |