| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,513 |
3,505 |
$650K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,653 |
4,591 |
$644K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,168 |
3,942 |
$380K |
| 92250 |
|
2,316 |
2,307 |
$109K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
174 |
131 |
$83K |
| 92083 |
|
1,096 |
1,078 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
373 |
373 |
$68K |
| 76514 |
|
4,174 |
4,162 |
$57K |
| 92136 |
|
379 |
326 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
126 |
126 |
$19K |
| 92133 |
|
402 |
402 |
$17K |
| 92015 |
Determination of refractive state |
1,655 |
1,651 |
$15K |
| 92020 |
|
407 |
406 |
$13K |
| 92134 |
|
212 |
210 |
$9K |
| 92025 |
|
78 |
77 |
$3K |
| 99406 |
|
49 |
46 |
$669.91 |