| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,905 |
1,854 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,904 |
2,823 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,029 |
1,875 |
$101K |
| 99215 |
Prolong outpt/office vis |
606 |
577 |
$79K |
| 92226 |
|
560 |
291 |
$54K |
| 99233 |
Prolong inpt eval add15 m |
780 |
417 |
$50K |
| 92015 |
Determination of refractive state |
4,042 |
4,033 |
$34K |
| 99205 |
Prolong outpt/office vis |
240 |
240 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
258 |
255 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$12K |
| 92225 |
|
130 |
104 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
46 |
$2K |
| 92201 |
|
44 |
24 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$486.80 |
| 92060 |
|
12 |
12 |
$350.62 |