| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,041 |
862 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
726 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
316 |
237 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
222 |
$14K |
| 92015 |
Determination of refractive state |
1,402 |
1,151 |
$6K |
| 92250 |
|
213 |
172 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
15 |
$632.72 |
| 92201 |
|
46 |
14 |
$0.00 |