| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,190 |
6,183 |
$429K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,561 |
4,552 |
$382K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,869 |
4,639 |
$223K |
| 92015 |
Determination of refractive state |
12,331 |
12,314 |
$140K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,716 |
1,665 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
850 |
849 |
$80K |
| 92060 |
|
679 |
666 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
280 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
65 |
$795.38 |
| 99201 |
|
15 |
15 |
$357.89 |
| 92201 |
|
14 |
13 |
$156.86 |