| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,223 |
1,219 |
$137K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,051 |
1,048 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
345 |
345 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
240 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
611 |
547 |
$28K |
| 92134 |
|
430 |
429 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
79 |
72 |
$7K |
| 92136 |
|
166 |
166 |
$6K |
| 92133 |
|
66 |
66 |
$2K |
| 92015 |
Determination of refractive state |
1,473 |
1,458 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$1K |
| 92025 |
|
39 |
39 |
$1K |