| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,813 |
3,786 |
$600K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,506 |
3,447 |
$355K |
| 92250 |
|
5,112 |
5,069 |
$337K |
| 92082 |
|
3,808 |
3,786 |
$168K |
| 92083 |
|
1,931 |
1,915 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
799 |
796 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
929 |
922 |
$60K |
| 92285 |
|
4,507 |
4,470 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
325 |
$48K |
| 92133 |
|
1,019 |
1,018 |
$40K |
| 92015 |
Determination of refractive state |
5,592 |
5,522 |
$36K |
| 92020 |
|
1,209 |
1,200 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
206 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
215 |
212 |
$19K |
| 92081 |
|
93 |
83 |
$3K |
| 92100 |
|
13 |
13 |
$744.74 |