| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
414 |
395 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
331 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
76 |
$4K |
| 92134 |
|
326 |
307 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
69 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
35 |
$980.06 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
16 |
$687.16 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
12 |
$607.37 |
| 92235 |
|
14 |
13 |
$456.43 |