| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,743 |
4,534 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,766 |
4,480 |
$190K |
| 92015 |
Determination of refractive state |
9,740 |
9,017 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
1,112 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
279 |
$12K |
| 92250 |
|
94 |
89 |
$3K |
| 92065 |
|
93 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
27 |
$1K |
| 92133 |
|
28 |
27 |
$897.10 |
| 92083 |
|
12 |
12 |
$406.93 |
| 92285 |
|
26 |
24 |
$204.03 |