| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,254 |
4,143 |
$386K |
| 92082 |
|
6,105 |
6,094 |
$225K |
| 92250 |
|
6,074 |
6,071 |
$224K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,150 |
1,150 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,427 |
1,426 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,006 |
1,006 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,243 |
1,243 |
$110K |
| 92015 |
Determination of refractive state |
6,746 |
6,742 |
$99K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
226 |
204 |
$15K |
| 92275 |
|
87 |
86 |
$10K |
| 65778 |
|
22 |
14 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
96 |
$6K |
| 92002 |
|
53 |
53 |
$4K |
| 92133 |
|
12 |
12 |
$298.04 |
| 92083 |
|
12 |
12 |
$254.14 |
| 99072 |
|
496 |
481 |
$0.00 |