| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,632 |
1,619 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,056 |
1,014 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
204 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
66 |
$3K |
| 92083 |
|
69 |
69 |
$1K |
| 92134 |
|
91 |
90 |
$741.07 |
| 92133 |
|
54 |
54 |
$449.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$420.43 |
| 92286 |
|
14 |
14 |
$312.47 |
| 92250 |
|
13 |
13 |
$244.03 |
| 92015 |
Determination of refractive state |
37 |
37 |
$0.00 |