| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,006 |
3,573 |
$239K |
| 68761 |
|
13,126 |
4,574 |
$234K |
| 65855 |
|
3,136 |
1,202 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,355 |
953 |
$86K |
| 92083 |
|
3,653 |
2,791 |
$81K |
| 92133 |
|
4,593 |
3,458 |
$62K |
| 92250 |
|
2,138 |
1,586 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,462 |
2,211 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,139 |
812 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
60 |
24 |
$2K |
| 92134 |
|
201 |
153 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$669.38 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
13 |
$35.23 |
| 99072 |
|
45 |
33 |
$0.00 |