| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
794 |
732 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
155 |
142 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
73 |
58 |
$4K |
| 92250 |
|
81 |
78 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
67 |
$3K |
| 92134 |
|
43 |
43 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
15 |
$1K |