| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,450 |
4,432 |
$305K |
| 76512 |
|
4,126 |
2,465 |
$172K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,804 |
1,791 |
$138K |
| 92286 |
|
2,474 |
2,464 |
$126K |
| 92083 |
|
2,650 |
2,636 |
$109K |
| 92020 |
|
6,546 |
6,512 |
$93K |
| 92250 |
|
1,877 |
1,861 |
$76K |
| 76513 |
|
1,193 |
761 |
$75K |
| 92060 |
|
1,865 |
1,850 |
$71K |
| 92273 |
|
951 |
945 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
763 |
717 |
$28K |
| 92226 |
|
2,033 |
2,010 |
$28K |
| 92015 |
Determination of refractive state |
1,782 |
1,782 |
$27K |
| 92202 |
|
2,404 |
2,391 |
$16K |
| 92133 |
|
785 |
784 |
$15K |
| 92225 |
|
796 |
779 |
$12K |
| 92201 |
|
897 |
891 |
$9K |
| 92025 |
|
436 |
435 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
36 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$419.27 |
| 92134 |
|
28 |
28 |
$408.82 |
| V2020 |
Frames, purchases |
46 |
46 |
$337.55 |