| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
998 |
965 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
484 |
459 |
$34K |
| 92015 |
Determination of refractive state |
2,341 |
2,254 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
202 |
201 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
34 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
22 |
$957.90 |
| 92250 |
|
25 |
25 |
$720.50 |
| 3072F |
|
72 |
71 |
$0.00 |
| 2023F |
|
14 |
14 |
$0.00 |
| 2022F |
|
26 |
25 |
$0.00 |