| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
738 |
700 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
185 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
45 |
$2K |
| 92250 |
|
25 |
25 |
$909.14 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$480.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18 |
18 |
$360.00 |