| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,876 |
2,634 |
$233K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,077 |
2,076 |
$181K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,355 |
1,351 |
$100K |
| 92060 |
|
2,569 |
2,546 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,361 |
1,352 |
$90K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,289 |
1,236 |
$64K |
| 92015 |
Determination of refractive state |
4,314 |
4,294 |
$49K |
| 92250 |
|
354 |
351 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
181 |
$7K |
| 76519 |
|
76 |
76 |
$3K |
| 92285 |
|
12 |
12 |
$144.96 |
| 3074F |
|
1,287 |
1,127 |
$4.03 |
| 3078F |
|
1,110 |
980 |
$3.49 |
| 3079F |
|
454 |
428 |
$1.73 |
| 3077F |
|
12 |
12 |
$0.09 |
| G8432 |
Depression screening not documented, reason not given |
534 |
532 |
$0.00 |