| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,529 |
12,529 |
$1.32M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,602 |
3,602 |
$454K |
| 92015 |
Determination of refractive state |
21,423 |
21,416 |
$377K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,885 |
3,826 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
713 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
227 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |