| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,420 |
2,845 |
$218K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
699 |
622 |
$68K |
| 92015 |
Determination of refractive state |
2,184 |
1,597 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
271 |
238 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
208 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
77 |
$15K |
| 92025 |
|
399 |
343 |
$13K |
| 92250 |
|
325 |
292 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
178 |
148 |
$12K |
| 92134 |
|
370 |
325 |
$11K |
| 83861 |
|
750 |
351 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$4K |
| 92083 |
|
74 |
68 |
$4K |
| 92133 |
|
20 |
18 |
$505.29 |
| 92020 |
|
13 |
13 |
$433.65 |