| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,076 |
991 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
424 |
409 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
121 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
134 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
43 |
$5K |
| 92226 |
|
151 |
76 |
$2K |
| 92083 |
|
30 |
30 |
$2K |
| 92020 |
|
70 |
67 |
$1K |
| 92250 |
|
25 |
25 |
$804.38 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$716.55 |
| 92100 |
|
30 |
29 |
$601.71 |
| 92202 |
|
41 |
41 |
$595.30 |
| 92015 |
Determination of refractive state |
111 |
108 |
$406.95 |
| 92201 |
|
19 |
19 |
$367.14 |