| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,610 |
2,580 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
589 |
589 |
$42K |
| 92015 |
Determination of refractive state |
1,564 |
1,535 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
46 |
46 |
$4K |
| 92083 |
|
141 |
140 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$4K |
| 92250 |
|
154 |
152 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
29 |
$1K |
| 92133 |
|
67 |
65 |
$1K |
| 99243 |
|
13 |
13 |
$820.08 |