| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
353 |
309 |
$15K |
| 92015 |
Determination of refractive state |
680 |
580 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
83 |
53 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
106 |
98 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$588.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$253.78 |