| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
729 |
662 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
449 |
416 |
$32K |
| 92015 |
Determination of refractive state |
1,348 |
1,253 |
$20K |
| 83861 |
|
294 |
199 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
58 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
97 |
91 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$3K |
| 92133 |
|
30 |
25 |
$781.13 |
| 76514 |
|
16 |
12 |
$111.62 |