| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
844 |
656 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
397 |
268 |
$16K |
| 92100 |
|
181 |
162 |
$15K |
| 92235 |
|
369 |
280 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
97 |
88 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
134 |
$10K |
| 92083 |
|
812 |
623 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
152 |
$5K |
| 92133 |
|
405 |
338 |
$2K |
| 92134 |
|
273 |
194 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$465.63 |
| 92250 |
|
45 |
42 |
$295.52 |
| 65855 |
|
56 |
26 |
$276.64 |
| 92020 |
|
56 |
39 |
$118.74 |
| 92285 |
|
115 |
64 |
$20.09 |
| 76514 |
|
15 |
14 |
$0.00 |