| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
527 |
527 |
$78K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
826 |
819 |
$74K |
| 92060 |
|
1,110 |
1,090 |
$69K |
| 92015 |
Determination of refractive state |
2,563 |
2,550 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
452 |
446 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
377 |
$31K |
| 92250 |
|
264 |
207 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
57 |
$5K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |