| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,355 |
1,322 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
437 |
$11K |
| 92083 |
|
783 |
781 |
$6K |
| 92134 |
|
896 |
874 |
$6K |
| 92133 |
|
53 |
53 |
$411.12 |
| 92020 |
|
24 |
24 |
$165.81 |
| 92250 |
|
28 |
27 |
$101.96 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
41 |
41 |
$0.00 |