| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,029 |
3,015 |
$243K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
888 |
879 |
$96K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
614 |
583 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
437 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
121 |
62 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
46 |
$2K |
| 92250 |
|
89 |
73 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 92083 |
|
43 |
37 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
40 |
24 |
$1K |