| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,660 |
7,431 |
$746K |
| 65778 |
|
845 |
543 |
$523K |
| 92082 |
|
11,934 |
11,681 |
$442K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,107 |
3,107 |
$433K |
| 92250 |
|
10,208 |
10,206 |
$371K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,284 |
1,282 |
$136K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,033 |
1,033 |
$131K |
| 92273 |
|
1,266 |
1,265 |
$109K |
| 92015 |
Determination of refractive state |
6,309 |
6,308 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
993 |
993 |
$89K |
| 65855 |
|
266 |
216 |
$47K |
| 92133 |
|
546 |
546 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
73 |
71 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
67 |
$4K |
| 76514 |
|
102 |
102 |
$687.24 |
| 92083 |
|
12 |
12 |
$500.33 |
| 92134 |
|
15 |
15 |
$488.59 |
| 99072 |
|
696 |
675 |
$0.00 |