| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,831 |
5,044 |
$625K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,239 |
2,047 |
$295K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,090 |
3,551 |
$275K |
| 92015 |
Determination of refractive state |
7,575 |
6,676 |
$19K |
| 92133 |
|
331 |
185 |
$16K |
| 99221 |
|
68 |
62 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
69 |
39 |
$4K |