| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,813 |
4,973 |
$227K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,921 |
3,426 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,082 |
1,918 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,231 |
2,845 |
$103K |
| 67311 |
|
138 |
110 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
642 |
612 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
406 |
375 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,068 |
892 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162 |
80 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
169 |
87 |
$9K |
| 92015 |
Determination of refractive state |
1,538 |
1,303 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
160 |
150 |
$5K |
| 92201 |
|
256 |
228 |
$4K |
| 99215 |
Prolong outpt/office vis |
19 |
16 |
$2K |
| 92202 |
|
145 |
138 |
$2K |
| 99251 |
|
21 |
20 |
$1K |
| 99254 |
|
15 |
14 |
$933.80 |
| 92250 |
|
15 |
13 |
$691.21 |
| 99252 |
|
12 |
12 |
$586.08 |
| 92226 |
|
22 |
13 |
$311.98 |