| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
490 |
464 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
230 |
208 |
$8K |
| 92133 |
|
139 |
124 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
47 |
$1K |
| 92083 |
|
27 |
24 |
$598.02 |
| 92015 |
Determination of refractive state |
34 |
28 |
$214.22 |