| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,805 |
1,266 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
969 |
865 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,571 |
999 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
70 |
$5K |
| 76512 |
|
620 |
421 |
$4K |
| 68761 |
|
195 |
170 |
$2K |
| 92201 |
|
552 |
398 |
$1K |
| 92020 |
|
323 |
292 |
$1K |
| 92134 |
|
566 |
433 |
$1K |
| 92060 |
|
220 |
169 |
$774.94 |
| 92226 |
|
222 |
104 |
$720.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
26 |
$642.72 |
| 92015 |
Determination of refractive state |
152 |
122 |
$470.61 |
| 92250 |
|
44 |
39 |
$373.06 |
| 92083 |
|
44 |
39 |
$158.55 |
| 92202 |
|
129 |
105 |
$87.92 |
| 92133 |
|
29 |
28 |
$61.50 |
| 92136 |
|
14 |
13 |
$59.66 |