| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,166 |
1,060 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
291 |
273 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
549 |
505 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
823 |
795 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
205 |
$2K |
| 92133 |
|
12 |
12 |
$142.50 |
| 99072 |
|
94 |
86 |
$0.00 |
| 1036F |
|
3,278 |
2,859 |
$0.00 |