| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,427 |
1,416 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
751 |
736 |
$36K |
| 92015 |
Determination of refractive state |
3,007 |
2,987 |
$30K |
| 92134 |
|
1,207 |
1,198 |
$27K |
| 99205 |
Prolong outpt/office vis |
367 |
367 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
711 |
699 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
333 |
332 |
$20K |
| 99245 |
|
210 |
205 |
$18K |
| 92020 |
|
395 |
393 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
135 |
$9K |
| 92228 |
|
247 |
247 |
$8K |
| 92133 |
|
192 |
192 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
68 |
$3K |
| 92250 |
|
51 |
51 |
$3K |
| 92083 |
|
51 |
51 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 92002 |
|
28 |
28 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
31 |
$913.28 |
| 3077F |
|
45 |
44 |
$0.00 |
| 3078F |
|
79 |
79 |
$0.00 |
| 3074F |
|
93 |
93 |
$0.00 |
| 3079F |
|
90 |
90 |
$0.00 |
| 3075F |
|
34 |
34 |
$0.00 |