| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
937 |
867 |
$55K |
| 68761 |
|
324 |
157 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
177 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
76 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$2K |
| 92250 |
|
36 |
36 |
$2K |
| 65205 |
|
55 |
53 |
$1K |
| 92083 |
|
12 |
12 |
$650.32 |
| 92133 |
|
25 |
25 |
$627.08 |
| 65210 |
|
12 |
12 |
$290.71 |
| 83861 |
|
401 |
305 |
$78.09 |
| 92015 |
Determination of refractive state |
44 |
44 |
$0.00 |