| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,436 |
1,431 |
$122K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
907 |
870 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
721 |
655 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$27K |
| 92083 |
|
454 |
443 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
211 |
$22K |
| 92134 |
|
630 |
625 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
69 |
$6K |
| 92002 |
|
67 |
67 |
$4K |
| 92133 |
|
81 |
79 |
$2K |
| V2020 |
Frames, purchases |
26 |
26 |
$2K |
| 92136 |
|
27 |
27 |
$889.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$819.32 |
| 92025 |
|
12 |
12 |
$342.41 |