| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
256 |
256 |
$31K |
| 92060 |
|
231 |
225 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
71 |
68 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$1K |
| 92285 |
|
114 |
113 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$1K |
| 92015 |
Determination of refractive state |
68 |
68 |
$316.61 |