| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
985 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
609 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
268 |
260 |
$7K |
| 92250 |
|
470 |
459 |
$6K |
| 92083 |
|
290 |
285 |
$5K |
| 92133 |
|
315 |
309 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
51 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
27 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
57 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
14 |
$2K |
| 92134 |
|
128 |
124 |
$1K |
| 92015 |
Determination of refractive state |
97 |
88 |
$743.71 |
| 92136 |
|
97 |
59 |
$513.54 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
21 |
21 |
$479.13 |
| 92020 |
|
12 |
12 |
$161.05 |
| 76514 |
|
13 |
12 |
$86.53 |
| 92025 |
|
13 |
13 |
$83.27 |