| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,276 |
13,298 |
$5.50M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,559 |
1,467 |
$615K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,611 |
4,250 |
$425K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,880 |
3,434 |
$214K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
585 |
$160K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,698 |
2,591 |
$113K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
315 |
307 |
$60K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
517 |
492 |
$48K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
825 |
184 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
49 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
61 |
61 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
64 |
28 |
$7K |
| 99442 |
|
56 |
52 |
$6K |
| 99221 |
|
59 |
51 |
$6K |
| 92015 |
Determination of refractive state |
209 |
207 |
$6K |
| 99443 |
|
41 |
39 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
26 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
38 |
38 |
$863.25 |
| 99441 |
|
12 |
12 |
$608.87 |
| 99152 |
|
143 |
143 |
$275.21 |
| V2750 |
Anti-reflective coating, per lens |
19 |
18 |
$0.00 |
| V2020 |
Frames, purchases |
18 |
18 |
$0.00 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
17 |
16 |
$0.00 |