| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,897 |
2,877 |
$161K |
| 92250 |
|
3,396 |
3,388 |
$134K |
| 68761 |
|
824 |
383 |
$78K |
| 92015 |
Determination of refractive state |
8,350 |
8,331 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,593 |
2,530 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,172 |
1,165 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
897 |
892 |
$33K |
| 92225 |
|
234 |
226 |
$21K |
| 92273 |
|
178 |
177 |
$19K |
| 92083 |
|
266 |
263 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$877.34 |
| 92283 |
|
41 |
41 |
$621.66 |
| 92133 |
|
19 |
19 |
$555.71 |
| 92201 |
|
12 |
12 |
$328.35 |