| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,898 |
5,866 |
$361K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,837 |
3,288 |
$262K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,857 |
1,300 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
272 |
$12K |
| 92133 |
|
194 |
151 |
$3K |
| 92015 |
Determination of refractive state |
419 |
402 |
$2K |
| 93892 |
|
16 |
12 |
$1K |
| 92134 |
|
96 |
84 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
12 |
$791.80 |
| 92083 |
|
20 |
14 |
$379.18 |
| 93890 |
|
18 |
12 |
$100.00 |