| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
181 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$769.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$615.84 |
| 92015 |
Determination of refractive state |
18 |
18 |
$300.39 |