| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
344 |
330 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
154 |
151 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
48 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$579.67 |
| 92083 |
|
12 |
12 |
$316.12 |
| 92225 |
|
17 |
12 |
$184.71 |
| 92133 |
|
12 |
12 |
$125.33 |