| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,225 |
2,218 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
749 |
749 |
$55K |
| 92015 |
Determination of refractive state |
2,436 |
2,436 |
$33K |
| 92250 |
|
47 |
47 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$987.75 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
15 |
$704.48 |
| 92083 |
|
13 |
13 |
$298.62 |