| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
557 |
413 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
305 |
258 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
217 |
169 |
$11K |
| 92015 |
Determination of refractive state |
629 |
486 |
$7K |
| 92083 |
|
132 |
97 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
46 |
$2K |
| 92250 |
|
121 |
92 |
$2K |
| 92133 |
|
58 |
56 |
$1K |
| 92201 |
|
69 |
63 |
$1K |
| 76514 |
|
12 |
12 |
$89.97 |