| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
395 |
371 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
87 |
$652.81 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
370 |
357 |
$155.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$0.00 |
| 92060 |
|
48 |
48 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14 |
14 |
$0.00 |