| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,115 |
3,114 |
$1.04M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,890 |
2,818 |
$617K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
892 |
617 |
$131K |
| 92015 |
Determination of refractive state |
612 |
598 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
558 |
$123K |
| 92342 |
|
515 |
515 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
462 |
459 |
$98K |
| 92002 |
|
319 |
316 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
191 |
$46K |
| 99442 |
|
154 |
120 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
106 |
$19K |
| 99205 |
Prolong outpt/office vis |
97 |
69 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
24 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
14 |
$4K |
| 99443 |
|
15 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
646 |
529 |
$2K |
| 0011A |
|
49 |
49 |
$586.71 |
| 0012A |
|
30 |
30 |
$537.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
47 |
$200.29 |
| 87390 |
|
40 |
39 |
$70.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$67.44 |
| 86480 |
|
28 |
28 |
$40.00 |
| 90658 |
|
13 |
13 |
$31.40 |
| 87391 |
|
42 |
41 |
$20.00 |
| 91301 |
|
54 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
26 |
$0.00 |