| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,427 |
1,348 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
711 |
669 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,336 |
1,152 |
$46K |
| 92015 |
Determination of refractive state |
2,513 |
2,250 |
$43K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
59 |
52 |
$40K |
| 92083 |
|
977 |
889 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
589 |
496 |
$25K |
| 92250 |
|
812 |
758 |
$24K |
| 92134 |
|
1,054 |
971 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649 |
592 |
$18K |
| 92133 |
|
782 |
708 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
604 |
486 |
$12K |
| 92202 |
|
1,078 |
995 |
$7K |
| 92136 |
|
210 |
194 |
$6K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$482.77 |
| 92020 |
|
29 |
28 |
$354.59 |