| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
277 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
246 |
241 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
159 |
$12K |
| 92015 |
Determination of refractive state |
400 |
382 |
$10K |
| 99243 |
|
89 |
84 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
55 |
53 |
$8K |
| 92083 |
|
113 |
110 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
51 |
$5K |
| 92060 |
|
74 |
72 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 92133 |
|
71 |
67 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$1K |
| 92002 |
|
22 |
19 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$214.50 |