| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,771 |
5,707 |
$453K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,558 |
4,491 |
$313K |
| 92015 |
Determination of refractive state |
6,592 |
6,275 |
$310K |
| 92081 |
|
6,070 |
6,053 |
$213K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,446 |
2,243 |
$123K |
| 92283 |
|
2,214 |
2,208 |
$60K |
| 92002 |
|
1,074 |
1,068 |
$51K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
520 |
520 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
747 |
684 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
160 |
152 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1K |
| 99201 |
|
32 |
32 |
$850.56 |
| 3072F |
|
304 |
304 |
$0.00 |