| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,678 |
6,678 |
$464K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,945 |
1,945 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,343 |
3,171 |
$176K |
| 92015 |
Determination of refractive state |
10,214 |
10,189 |
$167K |
| 92250 |
|
2,218 |
2,213 |
$75K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
182 |
170 |
$8K |
| T1015 |
Clinic visit/encounter, all-inclusive |
61 |
57 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
56 |
$2K |
| 99442 |
|
46 |
45 |
$902.98 |