| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,188 |
4,181 |
$340K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,764 |
2,763 |
$277K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,311 |
3,193 |
$192K |
| 92250 |
|
5,528 |
5,528 |
$171K |
| 92083 |
|
1,323 |
1,321 |
$56K |
| 68761 |
|
567 |
416 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
362 |
362 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
484 |
484 |
$44K |
| 92020 |
|
1,795 |
1,791 |
$32K |
| 92133 |
|
971 |
969 |
$22K |
| 92226 |
|
441 |
299 |
$7K |
| 92225 |
|
371 |
241 |
$6K |
| 92134 |
|
223 |
223 |
$5K |
| 92202 |
|
507 |
506 |
$5K |
| 76514 |
|
484 |
484 |
$4K |
| 92015 |
Determination of refractive state |
370 |
370 |
$3K |
| 92002 |
|
16 |
16 |
$888.44 |
| 92132 |
|
39 |
39 |
$733.77 |
| 95930 |
|
14 |
14 |
$482.13 |