| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
359 |
355 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
403 |
403 |
$19K |
| 92060 |
|
277 |
273 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
174 |
167 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
101 |
$4K |
| 92015 |
Determination of refractive state |
41 |
41 |
$627.74 |