| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
388 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
576 |
476 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
244 |
182 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
68 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
144 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
35 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
20 |
12 |
$3K |
| 92250 |
|
64 |
53 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
30 |
$1K |
| 92134 |
|
49 |
42 |
$783.85 |
| 92015 |
Determination of refractive state |
570 |
497 |
$624.50 |
| 92136 |
|
31 |
12 |
$444.82 |