| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
836 |
811 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
729 |
689 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
307 |
304 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
310 |
280 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
325 |
297 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
302 |
$7K |
| 92083 |
|
16 |
16 |
$447.20 |
| 92015 |
Determination of refractive state |
25 |
25 |
$386.30 |