| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
247 |
190 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
287 |
172 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
163 |
95 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
57 |
$2K |
| 92015 |
Determination of refractive state |
748 |
583 |
$556.23 |
| 92060 |
|
291 |
181 |
$437.15 |
| 92133 |
|
17 |
12 |
$0.00 |