| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
163 |
127 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
129 |
87 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$831.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
53 |
$738.74 |
| 92015 |
Determination of refractive state |
280 |
212 |
$642.06 |
| 92133 |
|
33 |
24 |
$175.20 |