| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
961 |
943 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
644 |
586 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
552 |
$22K |
| 92134 |
|
879 |
798 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
289 |
197 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
298 |
184 |
$8K |
| 92133 |
|
218 |
195 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
43 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$2K |
| 92015 |
Determination of refractive state |
28 |
24 |
$460.27 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
70 |
58 |
$189.54 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
72 |
56 |
$31.46 |