| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,070 |
1,774 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,064 |
1,848 |
$105K |
| 92134 |
|
2,209 |
1,885 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
32 |
28 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
16 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$3K |
| 92015 |
Determination of refractive state |
108 |
104 |
$2K |
| 76512 |
|
29 |
25 |
$891.10 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$764.05 |