| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
204 |
182 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
34 |
$1K |
| 92015 |
Determination of refractive state |
57 |
53 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$712.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
15 |
$352.32 |
| 92250 |
|
27 |
27 |
$215.83 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
14 |
$59.65 |