| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,350 |
8,569 |
$6.68M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,236 |
3,047 |
$2.08M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,871 |
1,810 |
$1.25M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
651 |
648 |
$482K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
309 |
$218K |
| 99442 |
|
234 |
218 |
$173K |
| 92015 |
Determination of refractive state |
3,697 |
3,572 |
$128K |
| 92567 |
|
835 |
814 |
$71K |
| 99441 |
|
82 |
79 |
$62K |
| 92553 |
|
84 |
84 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$33K |
| 99443 |
|
32 |
31 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
27 |
$22K |
| 92587 |
|
57 |
57 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
50 |
50 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$0.00 |