| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,039 |
5,039 |
$280K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,931 |
2,931 |
$212K |
| 92015 |
Determination of refractive state |
7,932 |
7,932 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
234 |
$10K |
| 92250 |
|
142 |
142 |
$5K |
| 92133 |
|
133 |
133 |
$3K |
| 92025 |
|
62 |
62 |
$2K |
| G9905 |
Patient not screened for tobacco use |
132 |
132 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
5,770 |
5,742 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
34 |
34 |
$0.00 |