| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
379 |
347 |
$22K |
| 92134 |
|
868 |
790 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
234 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
42 |
39 |
$2K |
| 92083 |
|
40 |
40 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
85 |
64 |
$2K |
| 92015 |
Determination of refractive state |
14 |
14 |
$242.64 |