| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,877 |
3,849 |
$211K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,954 |
2,766 |
$98K |
| 92015 |
Determination of refractive state |
5,116 |
5,088 |
$63K |
| 92250 |
|
3,087 |
2,281 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
967 |
920 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
438 |
438 |
$28K |
| 92083 |
|
814 |
595 |
$15K |
| 92285 |
|
1,888 |
1,495 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
104 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
78 |
$6K |
| 92133 |
|
428 |
312 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |