| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,335 |
1,274 |
$101K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,270 |
2,090 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
890 |
768 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
896 |
821 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
518 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
232 |
$10K |
| 92015 |
Determination of refractive state |
541 |
445 |
$5K |
| 92083 |
|
34 |
34 |
$779.23 |
| 92133 |
|
32 |
32 |
$501.90 |