| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
273 |
233 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
346 |
237 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
327 |
219 |
$9K |
| 92015 |
Determination of refractive state |
77 |
72 |
$1K |
| 92250 |
|
40 |
30 |
$902.39 |
| 92134 |
|
37 |
29 |
$640.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
12 |
$560.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$512.26 |