| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,145 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
852 |
847 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
673 |
672 |
$86K |
| 99215 |
Prolong outpt/office vis |
255 |
239 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$5K |
| 92015 |
Determination of refractive state |
2,150 |
2,137 |
$4K |
| 92250 |
|
65 |
65 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$1K |