| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
730 |
709 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
112 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
177 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
54 |
$645.01 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
25 |
$527.29 |
| 92015 |
Determination of refractive state |
25 |
25 |
$450.54 |