| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,008 |
1,976 |
$249K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,174 |
1,139 |
$90K |
| 92015 |
Determination of refractive state |
697 |
692 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
84 |
78 |
$8K |
| 92002 |
|
70 |
65 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
39 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14 |
14 |
$905.00 |