| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,321 |
1,060 |
$76K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
890 |
870 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
425 |
425 |
$42K |
| 92250 |
|
1,013 |
986 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
127 |
$8K |
| 92025 |
|
319 |
315 |
$8K |
| 68761 |
|
96 |
39 |
$6K |
| 92226 |
|
272 |
173 |
$5K |
| 92225 |
|
185 |
116 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 92083 |
|
65 |
65 |
$3K |
| 92202 |
|
215 |
214 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 76514 |
|
117 |
115 |
$867.25 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
23 |
12 |
$0.00 |