| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,220 |
1,209 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
773 |
771 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
598 |
587 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
419 |
$16K |
| 92133 |
|
304 |
288 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
39 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$2K |
| 92015 |
Determination of refractive state |
311 |
311 |
$1K |
| 92083 |
|
40 |
39 |
$1K |
| 92250 |
|
49 |
49 |
$875.70 |
| 92020 |
|
14 |
13 |
$161.40 |