| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,084 |
1,068 |
$35K |
| 92250 |
|
1,317 |
1,247 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
432 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
707 |
676 |
$10K |
| 92134 |
|
218 |
211 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
220 |
206 |
$2K |
| 92083 |
|
15 |
15 |
$280.35 |
| 92020 |
|
14 |
14 |
$63.22 |