| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
717 |
630 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
121 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
182 |
171 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
57 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
46 |
$3K |
| 92226 |
|
24 |
15 |
$1K |
| 92225 |
|
17 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$813.08 |
| 92201 |
|
14 |
12 |
$377.95 |
| 92015 |
Determination of refractive state |
15 |
15 |
$252.44 |