| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
758 |
752 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
392 |
382 |
$12K |
| 92015 |
Determination of refractive state |
1,266 |
1,256 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
85 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$701.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$202.91 |
| 2022F |
|
46 |
46 |
$0.00 |