| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,124 |
7,195 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,845 |
2,741 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,003 |
958 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
441 |
427 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
651 |
636 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
432 |
419 |
$12K |
| 92015 |
Determination of refractive state |
399 |
391 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
309 |
290 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
122 |
55 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
228 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
57 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
81 |
41 |
$2K |
| 92134 |
|
112 |
89 |
$774.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$353.30 |
| 92133 |
|
44 |
39 |
$329.34 |
| 92083 |
|
12 |
12 |
$99.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$73.80 |
| 99024 |
|
25 |
24 |
$0.00 |
| 1159F |
|
51 |
51 |
$0.00 |