| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,767 |
7,224 |
$362K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,450 |
2,705 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,519 |
4,535 |
$180K |
| 92015 |
Determination of refractive state |
12,654 |
10,244 |
$91K |
| 92060 |
|
323 |
219 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
18 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$973.90 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$495.35 |