| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,472 |
2,803 |
$189K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,283 |
1,145 |
$98K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
502 |
385 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
37 |
$1K |
| 92083 |
|
720 |
568 |
$915.29 |
| 92250 |
|
355 |
320 |
$328.96 |
| 92133 |
|
729 |
570 |
$324.16 |
| 92015 |
Determination of refractive state |
271 |
233 |
$99.48 |
| 92134 |
|
32 |
27 |
$25.70 |
| 1036F |
|
21 |
18 |
$0.00 |