| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,003 |
6,667 |
$681K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,429 |
1,364 |
$162K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
645 |
613 |
$44K |
| 92060 |
|
185 |
179 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
99 |
84 |
$6K |
| 92015 |
Determination of refractive state |
11,702 |
11,153 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$3K |
| 92250 |
|
113 |
93 |
$1K |
| 92133 |
|
76 |
61 |
$941.44 |
| 92083 |
|
16 |
12 |
$467.12 |