| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
901 |
$26K |
| 92015 |
Determination of refractive state |
1,556 |
1,314 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
176 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
233 |
193 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
50 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 92133 |
|
90 |
76 |
$933.83 |
| 92134 |
|
12 |
12 |
$101.12 |