| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
768 |
743 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
1,019 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
423 |
$15K |
| 92250 |
|
113 |
108 |
$5K |
| 92015 |
Determination of refractive state |
566 |
543 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
48 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
53 |
51 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
50 |
41 |
$1K |
| 92083 |
|
13 |
13 |
$846.72 |