| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,783 |
1,756 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
799 |
781 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
431 |
$20K |
| 92015 |
Determination of refractive state |
2,026 |
1,954 |
$18K |
| 92134 |
|
643 |
627 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
88 |
$6K |
| 92083 |
|
127 |
125 |
$4K |
| 92133 |
|
65 |
65 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$675.50 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$556.35 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
115 |
111 |
$0.00 |
| 1036F |
|
405 |
379 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
16 |
14 |
$0.00 |
| 2022F |
|
25 |
25 |
$0.00 |