| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,738 |
10,206 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,625 |
8,150 |
$545K |
| 92015 |
Determination of refractive state |
18,264 |
17,192 |
$325K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,202 |
6,038 |
$272K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,288 |
5,132 |
$228K |
| S0592 |
Comprehensive contact lens evaluation |
1,450 |
1,405 |
$90K |
| 92250 |
|
1,593 |
1,496 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$523.32 |
| 3072F |
|
14 |
12 |
$0.08 |