| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
745 |
732 |
$17K |
| 92250 |
|
377 |
371 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
130 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
94 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
103 |
$1K |
| 92136 |
|
53 |
37 |
$270.22 |