| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,166 |
4,159 |
$362K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,539 |
3,285 |
$215K |
| 92083 |
|
4,545 |
4,525 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,903 |
1,902 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,303 |
1,302 |
$161K |
| 92250 |
|
3,369 |
3,366 |
$110K |
| 92015 |
Determination of refractive state |
3,653 |
3,648 |
$51K |
| 92133 |
|
1,309 |
1,302 |
$37K |
| 92134 |
|
600 |
597 |
$16K |
| 92225 |
|
399 |
277 |
$10K |
| 92202 |
|
936 |
934 |
$9K |
| 92226 |
|
328 |
224 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
93 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
70 |
$6K |
| 95060 |
|
248 |
244 |
$6K |
| 92020 |
|
112 |
112 |
$2K |
| 92285 |
|
39 |
39 |
$664.93 |
| 76514 |
|
14 |
14 |
$112.74 |