| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
597 |
$44K |
| 92133 |
|
907 |
776 |
$22K |
| 92083 |
|
393 |
358 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
257 |
$13K |
| 92015 |
Determination of refractive state |
919 |
828 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
115 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
241 |
173 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
84 |
70 |
$5K |
| 83861 |
|
214 |
97 |
$2K |
| 92134 |
|
62 |
56 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
14 |
$645.73 |
| 92020 |
|
17 |
15 |
$284.70 |
| 76514 |
|
27 |
24 |
$172.57 |