| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
945 |
873 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
840 |
647 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
632 |
456 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
302 |
$15K |
| 92134 |
|
638 |
483 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
57 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 92015 |
Determination of refractive state |
159 |
150 |
$2K |
| 92250 |
|
22 |
12 |
$374.70 |
| 92083 |
|
19 |
12 |
$300.12 |