| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
178 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
47 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
82 |
71 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
62 |
$2K |
| 92015 |
Determination of refractive state |
97 |
95 |
$1K |
| 92250 |
|
18 |
17 |
$754.92 |