| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,462 |
1,412 |
$208K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
367 |
353 |
$194.10 |
| 92015 |
Determination of refractive state |
775 |
764 |
$4.95 |
| 92250 |
|
80 |
79 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
383 |
378 |
$0.00 |