| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
616 |
615 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
452 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
454 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
196 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
345 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
292 |
275 |
$14K |
| 92015 |
Determination of refractive state |
871 |
871 |
$10K |
| 83861 |
|
253 |
227 |
$8K |
| 92083 |
|
164 |
160 |
$5K |
| 92134 |
|
104 |
104 |
$2K |