| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
805 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
246 |
245 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
98 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
115 |
$3K |
| 92015 |
Determination of refractive state |
191 |
191 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
53 |
53 |
$1K |
| 92133 |
|
54 |
51 |
$715.80 |
| 92083 |
|
13 |
12 |
$196.71 |