| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,690 |
2,556 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,862 |
1,842 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,460 |
1,416 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
671 |
660 |
$49K |
| 92015 |
Determination of refractive state |
3,935 |
3,788 |
$35K |
| 92250 |
|
1,056 |
1,008 |
$24K |
| 92275 |
|
220 |
211 |
$10K |
| 92020 |
|
889 |
812 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
194 |
$8K |
| 95930 |
|
235 |
222 |
$5K |
| 92083 |
|
255 |
241 |
$5K |
| 68761 |
|
140 |
70 |
$4K |
| 92134 |
|
185 |
185 |
$3K |
| 92133 |
|
179 |
168 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
18 |
$921.80 |
| 1036F |
|
12 |
12 |
$0.00 |
| 0509T |
|
15 |
15 |
$0.00 |