| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,691 |
3,687 |
$107K |
| 92250 |
|
4,622 |
4,616 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,335 |
1,330 |
$105K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,270 |
3,051 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
667 |
$31K |
| 92015 |
Determination of refractive state |
3,997 |
3,975 |
$29K |
| 92134 |
|
892 |
891 |
$10K |
| 92133 |
|
432 |
432 |
$9K |
| 92083 |
|
244 |
243 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
146 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
55 |
$2K |
| 76519 |
|
31 |
27 |
$1K |
| 76514 |
|
142 |
142 |
$675.77 |