| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
848 |
824 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
805 |
745 |
$4K |
| 92134 |
|
910 |
883 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
176 |
$920.46 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$35.00 |
| 92015 |
Determination of refractive state |
26 |
26 |
$8.01 |
| 92133 |
|
12 |
12 |
$0.00 |