| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
974 |
847 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
414 |
361 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
601 |
$19K |
| 92015 |
Determination of refractive state |
1,358 |
1,116 |
$12K |
| 92083 |
|
165 |
163 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
102 |
89 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 92133 |
|
52 |
49 |
$652.97 |