| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,536 |
2,477 |
$451K |
| 92060 |
|
1,067 |
1,060 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
89 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$6K |
| 92083 |
|
110 |
108 |
$6K |
| 92545 |
|
1,045 |
1,033 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
52 |
$3K |
| 92015 |
Determination of refractive state |
639 |
633 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$876.00 |
| 97750 |
|
170 |
167 |
$266.95 |