| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
835 |
811 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
524 |
506 |
$22K |
| 92015 |
Determination of refractive state |
1,195 |
1,155 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
436 |
361 |
$12K |
| 92134 |
|
167 |
159 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
67 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
30 |
$2K |
| 92083 |
|
16 |
13 |
$503.83 |
| 92133 |
|
17 |
14 |
$344.10 |