| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,077 |
1,658 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
507 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
85 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
149 |
67 |
$10K |
| 92015 |
Determination of refractive state |
1,689 |
1,304 |
$6K |
| 92201 |
|
763 |
401 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
51 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19 |
18 |
$2K |
| 92250 |
|
251 |
164 |
$754.35 |