| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
673 |
547 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
434 |
355 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
49 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
55 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
25 |
$3K |
| 92002 |
|
12 |
12 |
$620.88 |
| 92015 |
Determination of refractive state |
13 |
13 |
$0.00 |