| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,919 |
4,881 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,387 |
2,348 |
$183K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
753 |
750 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,428 |
1,396 |
$78K |
| 99205 |
Prolong outpt/office vis |
483 |
483 |
$68K |
| 92134 |
|
2,404 |
2,259 |
$61K |
| 67400 |
|
65 |
65 |
$45K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
481 |
470 |
$32K |
| 99215 |
Prolong outpt/office vis |
289 |
285 |
$27K |
| 92133 |
|
643 |
641 |
$14K |
| 92202 |
|
702 |
702 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$7K |
| 68810 |
|
48 |
48 |
$7K |
| 92285 |
|
1,333 |
1,314 |
$7K |
| 92201 |
|
367 |
359 |
$6K |
| 92250 |
|
225 |
223 |
$6K |
| 92083 |
|
183 |
181 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
156 |
$4K |
| 67973 |
|
12 |
12 |
$4K |
| 92020 |
|
83 |
83 |
$2K |
| 92060 |
|
13 |
13 |
$789.07 |
| 92225 |
|
44 |
26 |
$719.42 |
| 76514 |
|
87 |
86 |
$421.18 |
| 92226 |
|
14 |
12 |
$385.47 |
| 92286 |
|
15 |
15 |
$326.23 |
| 99417 |
Prolong home eval add 15m |
40 |
40 |
$302.27 |
| 92015 |
Determination of refractive state |
14 |
14 |
$108.14 |
| 99024 |
|
12 |
12 |
$0.00 |