| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,759 |
1,734 |
$150K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,718 |
1,688 |
$109K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
788 |
696 |
$37K |
| 92015 |
Determination of refractive state |
2,050 |
2,027 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
231 |
$15K |
| 92083 |
|
129 |
126 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$2K |
| 92136 |
|
31 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$662.40 |
| 92133 |
|
28 |
28 |
$587.02 |