| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,587 |
2,264 |
$258K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,270 |
2,005 |
$165K |
| 92015 |
Determination of refractive state |
6,594 |
5,343 |
$81K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
894 |
809 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
197 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
88 |
$4K |
| 92134 |
|
13 |
13 |
$109.08 |
| 99072 |
|
119 |
110 |
$0.00 |