| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,437 |
1,437 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
587 |
586 |
$42K |
| 92015 |
Determination of refractive state |
2,315 |
2,314 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
89 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$987.75 |
| 92002 |
|
13 |
13 |
$452.25 |