| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,014 |
990 |
$51K |
| 92015 |
Determination of refractive state |
1,445 |
1,395 |
$44K |
| 92060 |
|
854 |
826 |
$33K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
451 |
414 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
161 |
$13K |
| 92250 |
|
173 |
165 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
124 |
119 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
199 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$906.36 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$243.13 |