| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
174 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
123 |
105 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
42 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
17 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$1K |
| 92015 |
Determination of refractive state |
1,004 |
815 |
$306.12 |
| 92250 |
|
125 |
96 |
$167.40 |
| 92226 |
|
64 |
26 |
$0.00 |
| 92020 |
|
31 |
27 |
$0.00 |
| 92225 |
|
28 |
13 |
$0.00 |