| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,620 |
1,519 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,123 |
1,043 |
$56K |
| 92134 |
|
2,234 |
2,123 |
$51K |
| 92015 |
Determination of refractive state |
2,355 |
2,208 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
638 |
611 |
$37K |
| 92083 |
|
813 |
749 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
680 |
632 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
318 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
245 |
222 |
$5K |
| 92133 |
|
227 |
217 |
$5K |
| 92202 |
|
103 |
95 |
$717.14 |
| 92250 |
|
12 |
12 |
$375.01 |
| 76514 |
|
12 |
12 |
$66.56 |