| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,683 |
1,247 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
877 |
723 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
724 |
583 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
122 |
103 |
$9K |
| 92134 |
|
502 |
384 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
32 |
$2K |
| 92015 |
Determination of refractive state |
165 |
134 |
$1K |
| 92133 |
|
47 |
37 |
$864.20 |