| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
2,966 |
2,958 |
$114K |
| 92250 |
|
3,159 |
3,144 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,381 |
1,371 |
$88K |
| 92020 |
|
5,372 |
5,289 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,076 |
1,071 |
$68K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,261 |
1,204 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
396 |
394 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
476 |
475 |
$36K |
| 92133 |
|
1,216 |
1,216 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
299 |
292 |
$14K |
| 92015 |
Determination of refractive state |
1,410 |
1,405 |
$10K |
| 68761 |
|
118 |
117 |
$10K |
| 76514 |
|
943 |
940 |
$7K |
| 76512 |
|
193 |
97 |
$6K |
| 76513 |
|
60 |
42 |
$4K |
| 92134 |
|
152 |
151 |
$4K |
| 92025 |
|
135 |
135 |
$2K |
| 92132 |
|
26 |
26 |
$369.47 |