| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,257 |
1,235 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
459 |
$230.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
200 |
$94.68 |
| 99441 |
|
303 |
285 |
$0.00 |
| 3008F |
|
381 |
377 |
$0.00 |
| 3074F |
|
108 |
107 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3079F |
|
47 |
47 |
$0.00 |
| 3351F |
|
61 |
61 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |
| 96127 |
|
17 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
14 |
14 |
$0.00 |
| 3078F |
|
66 |
66 |
$0.00 |