| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
182 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
766 |
672 |
$34K |
| 92015 |
Determination of refractive state |
1,405 |
1,254 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
162 |
$16K |
| 92060 |
|
252 |
231 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
71 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
72 |
71 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
51 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
51 |
47 |
$1K |
| 92285 |
|
17 |
17 |
$492.51 |