| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
909 |
477 |
$30K |
| 92225 |
|
124 |
60 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
146 |
145 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
82 |
80 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 92015 |
Determination of refractive state |
175 |
175 |
$1K |