| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
452 |
436 |
$27K |
| 92015 |
Determination of refractive state |
540 |
524 |
$7K |
| 92226 |
|
212 |
76 |
$6K |
| 92060 |
|
136 |
130 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
100 |
$5K |
| 99253 |
|
55 |
53 |
$4K |
| 92225 |
|
148 |
69 |
$4K |
| 92201 |
|
175 |
101 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
29 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
27 |
$2K |
| V2756 |
Eye glass case |
28 |
24 |
$35.30 |