| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
114 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
30 |
$1K |
| 92250 |
|
79 |
73 |
$885.31 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$568.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
28 |
$343.83 |
| 92015 |
Determination of refractive state |
16 |
12 |
$6.38 |