| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,131 |
3,030 |
$276K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,285 |
1,195 |
$77K |
| 92083 |
|
1,212 |
991 |
$50K |
| 92015 |
Determination of refractive state |
3,642 |
3,545 |
$47K |
| 92133 |
|
1,261 |
793 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
357 |
355 |
$34K |
| 2022F |
|
1,348 |
1,305 |
$174.22 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
14 |
$0.00 |
| 2027F |
|
1,664 |
1,530 |
$0.00 |
| 5010F |
|
14 |
14 |
$0.00 |