| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,311 |
3,185 |
$122K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,056 |
2,359 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
294 |
231 |
$19K |
| 92015 |
Determination of refractive state |
2,766 |
2,024 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
213 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
81 |
$6K |
| 92133 |
|
219 |
158 |
$3K |
| 92083 |
|
71 |
61 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
71 |
$2K |
| 92025 |
|
18 |
15 |
$384.14 |
| 92136 |
|
13 |
12 |
$318.35 |
| 99426 |
|
19 |
15 |
$15.85 |