| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
1,956 |
$112K |
| 92250 |
|
1,192 |
1,169 |
$35K |
| 92083 |
|
828 |
820 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
273 |
$19K |
| 83861 |
|
1,200 |
617 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
187 |
186 |
$16K |
| 92134 |
|
615 |
607 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
231 |
228 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
82 |
81 |
$3K |
| 92133 |
|
121 |
121 |
$3K |
| 92020 |
|
67 |
67 |
$1K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$1K |
| 76514 |
|
68 |
68 |
$647.29 |
| 92015 |
Determination of refractive state |
13 |
13 |
$57.68 |
| 65778 |
|
16 |
15 |
$0.00 |