| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
297 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
670 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,267 |
1,195 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,570 |
2,544 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,584 |
1,555 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
13 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
59 |
$3K |
| 92083 |
|
103 |
102 |
$3K |
| 92250 |
|
151 |
150 |
$2K |
| 76519 |
|
109 |
103 |
$2K |
| 92015 |
Determination of refractive state |
201 |
197 |
$858.61 |
| 92020 |
|
138 |
136 |
$656.97 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$123.42 |
| 66821 |
|
13 |
13 |
$0.00 |