| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,472 |
2,418 |
$115K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,082 |
2,815 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
676 |
665 |
$56K |
| 92015 |
Determination of refractive state |
1,218 |
1,187 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
27 |
$8K |
| 92083 |
|
141 |
140 |
$5K |
| 76519 |
|
49 |
31 |
$887.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$701.60 |
| 92134 |
|
33 |
28 |
$347.13 |
| 92133 |
|
12 |
12 |
$150.86 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$0.00 |