| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,001 |
997 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
236 |
236 |
$15K |
| 92015 |
Determination of refractive state |
1,220 |
1,216 |
$13K |
| 92250 |
|
496 |
495 |
$12K |
| 92020 |
|
699 |
698 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
152 |
152 |
$8K |
| 92025 |
|
220 |
218 |
$4K |
| 92083 |
|
103 |
103 |
$4K |
| 68761 |
|
38 |
19 |
$3K |
| 92002 |
|
60 |
59 |
$3K |
| 68040 |
|
62 |
31 |
$2K |
| 76512 |
|
38 |
19 |
$2K |
| 99072 |
|
567 |
567 |
$1K |
| 92201 |
|
74 |
73 |
$1K |
| 67820 |
|
54 |
27 |
$858.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$755.88 |
| 92285 |
|
19 |
19 |
$263.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$181.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
74 |
$0.00 |