| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
664 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
28 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
77 |
13 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
153 |
151 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$1K |
| 92285 |
|
40 |
40 |
$1K |
| 99221 |
|
15 |
15 |
$902.02 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$691.44 |
| 71045 |
Radiologic examination, chest; single view |
36 |
28 |
$185.13 |
| 92015 |
Determination of refractive state |
171 |
157 |
$0.00 |