| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
214 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
53 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
64 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
32 |
$1K |
| 92015 |
Determination of refractive state |
94 |
91 |
$424.62 |