| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,340 |
1,018 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,398 |
952 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
524 |
446 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
243 |
232 |
$32K |
| 92060 |
|
1,691 |
1,238 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
197 |
159 |
$12K |
| 92015 |
Determination of refractive state |
3,222 |
2,513 |
$9K |