| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
250 |
$15K |
| 92081 |
|
117 |
117 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
36 |
$1K |
| 92002 |
|
38 |
38 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
838 |
838 |
$799.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
229 |
229 |
$336.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
81 |
81 |
$0.00 |
| 92015 |
Determination of refractive state |
292 |
291 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
115 |
115 |
$0.00 |