| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
519 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
244 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
31 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
60 |
56 |
$5K |
| 92002 |
|
33 |
30 |
$4K |
| 92015 |
Determination of refractive state |
159 |
130 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
51 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$3K |
| 92133 |
|
76 |
66 |
$2K |
| 92134 |
|
44 |
35 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$596.00 |
| 92250 |
|
14 |
13 |
$191.76 |
| 92083 |
|
16 |
16 |
$179.92 |