| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
440 |
435 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
149 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
88 |
88 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
49 |
48 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
14 |
$341.11 |
| 92202 |
|
50 |
50 |
$332.57 |
| 92134 |
|
12 |
12 |
$266.89 |
| 92083 |
|
12 |
12 |
$261.80 |
| 92133 |
|
12 |
12 |
$223.05 |