| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,201 |
2,185 |
$253K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,943 |
2,928 |
$173K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,900 |
1,892 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,277 |
1,234 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
188 |
$15K |
| 92015 |
Determination of refractive state |
598 |
596 |
$9K |
| 92250 |
|
69 |
68 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$1K |