| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
662 |
646 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,229 |
1,172 |
$61K |
| 92060 |
|
1,580 |
1,547 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
880 |
845 |
$31K |
| 92015 |
Determination of refractive state |
2,114 |
2,085 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
75 |
75 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
84 |
$5K |
| 99072 |
|
100 |
100 |
$430.50 |