| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
606 |
556 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
427 |
358 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
720 |
651 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
68 |
$5K |
| 92060 |
|
161 |
144 |
$3K |
| 92015 |
Determination of refractive state |
340 |
299 |
$2K |
| 92226 |
|
109 |
42 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
16 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
15 |
$869.37 |
| 92201 |
|
24 |
15 |
$660.28 |