| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
267 |
265 |
$16K |
| 92015 |
Determination of refractive state |
1,562 |
1,507 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
180 |
$8K |
| 92250 |
|
166 |
165 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
40 |
40 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$3K |
| 92083 |
|
48 |
48 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$986.92 |
| 92133 |
|
14 |
14 |
$253.39 |