| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,931 |
1,913 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,478 |
2,193 |
$39K |
| 92015 |
Determination of refractive state |
2,152 |
2,107 |
$33K |
| 92250 |
|
1,127 |
1,109 |
$27K |
| 92083 |
|
1,163 |
1,150 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
117 |
110 |
$10K |
| 92133 |
|
353 |
348 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
17 |
17 |
$744.75 |
| 67820 |
|
16 |
14 |
$353.95 |
| 92285 |
|
13 |
13 |
$23.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |