| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,552 |
2,495 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,464 |
1,683 |
$211K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
986 |
705 |
$52K |
| 92015 |
Determination of refractive state |
3,130 |
2,028 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
36 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$2K |
| 92060 |
|
153 |
121 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$478.71 |
| 92133 |
|
13 |
12 |
$119.63 |