| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,226 |
1,113 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
853 |
786 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,039 |
946 |
$29K |
| 92015 |
Determination of refractive state |
1,397 |
1,255 |
$26K |
| 92226 |
|
591 |
178 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
480 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
12 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
86 |
26 |
$2K |
| 92225 |
|
27 |
12 |
$1K |
| 92201 |
|
133 |
60 |
$737.93 |
| 92002 |
|
12 |
12 |
$330.60 |