| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
857 |
855 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
324 |
322 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
429 |
422 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
378 |
$15K |
| 92083 |
|
262 |
261 |
$9K |
| 92250 |
|
269 |
267 |
$7K |
| 92133 |
|
297 |
296 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$2K |
| 92134 |
|
30 |
29 |
$460.27 |
| 92136 |
|
22 |
12 |
$386.39 |
| 92015 |
Determination of refractive state |
448 |
447 |
$192.61 |