| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,156 |
1,152 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
111 |
103 |
$4K |
| 92015 |
Determination of refractive state |
395 |
394 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
36 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$1K |
| 92250 |
|
12 |
12 |
$406.21 |