| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
457 |
442 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
800 |
706 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
489 |
$18K |
| 92081 |
|
362 |
359 |
$11K |
| 92551 |
|
458 |
444 |
$5K |
| 96150 |
|
151 |
149 |
$4K |
| G9920 |
Screening performed and negative |
139 |
127 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$2K |
| 96151 |
|
76 |
76 |
$2K |
| 90658 |
|
70 |
68 |
$630.00 |
| 90649 |
|
37 |
37 |
$333.00 |
| 90620 |
|
35 |
35 |
$315.00 |
| 96127 |
|
67 |
66 |
$264.55 |
| 99172 |
|
14 |
14 |
$257.60 |
| 90734 |
|
14 |
14 |
$126.00 |
| 92015 |
Determination of refractive state |
15 |
15 |
$120.15 |