| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,730 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
692 |
683 |
$61K |
| 92060 |
|
526 |
522 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
404 |
$14K |
| 92015 |
Determination of refractive state |
1,845 |
1,832 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
31 |
31 |
$4K |
| 99243 |
|
12 |
12 |
$930.61 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$822.81 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$778.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$720.76 |
| 99072 |
|
30 |
26 |
$0.00 |