| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,836 |
1,815 |
$83K |
| 92015 |
Determination of refractive state |
2,513 |
2,482 |
$43K |
| 92250 |
|
215 |
215 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
182 |
181 |
$8K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
94 |
94 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
23 |
23 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$665.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$368.55 |