| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
971 |
833 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
464 |
410 |
$20K |
| 92015 |
Determination of refractive state |
671 |
543 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
327 |
308 |
$9K |
| 92133 |
|
245 |
213 |
$4K |
| 92083 |
|
95 |
90 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$537.98 |
| 92020 |
|
14 |
13 |
$216.91 |