| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
589 |
588 |
$79K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
795 |
727 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
375 |
374 |
$41K |
| 92083 |
|
317 |
316 |
$18K |
| 92250 |
|
302 |
302 |
$12K |
| 92133 |
|
188 |
188 |
$6K |
| 92020 |
|
210 |
209 |
$5K |
| 92015 |
Determination of refractive state |
233 |
233 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$833.06 |