| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
909 |
897 |
$23K |
| 92250 |
|
1,392 |
1,363 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
139 |
134 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
199 |
192 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
128 |
$2K |
| 92020 |
|
403 |
396 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
110 |
$1K |
| 92015 |
Determination of refractive state |
309 |
302 |
$592.50 |
| 92133 |
|
45 |
45 |
$359.81 |
| 1170F |
|
129 |
128 |
$0.00 |
| 1036F |
|
319 |
318 |
$0.00 |
| 3044F |
|
157 |
156 |
$0.00 |
| 3061F |
|
28 |
28 |
$0.00 |
| 1160F |
|
1,357 |
1,322 |
$0.00 |
| 1159F |
|
1,383 |
1,349 |
$0.00 |
| 3288F |
|
109 |
108 |
$0.00 |
| 1033F |
|
36 |
36 |
$0.00 |
| 3062F |
|
17 |
17 |
$0.00 |