| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
475 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
263 |
256 |
$8K |
| 92083 |
|
380 |
368 |
$6K |
| 92250 |
|
78 |
76 |
$2K |
| 92015 |
Determination of refractive state |
69 |
66 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$1K |
| 92134 |
|
55 |
54 |
$655.05 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
17 |
$300.30 |
| 92202 |
|
40 |
39 |
$146.90 |