| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
403 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
370 |
351 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
205 |
203 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
80 |
$4K |
| 92083 |
|
114 |
113 |
$2K |
| 92250 |
|
13 |
12 |
$183.81 |
| 92020 |
|
39 |
39 |
$138.16 |
| 92015 |
Determination of refractive state |
27 |
26 |
$42.50 |
| 92133 |
|
13 |
13 |
$39.31 |