| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,059 |
871 |
$128K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
330 |
254 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
144 |
138 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
153 |
99 |
$12K |
| 92201 |
|
780 |
501 |
$7K |
| 92060 |
|
604 |
455 |
$3K |
| 92015 |
Determination of refractive state |
1,472 |
1,276 |
$3K |
| 92226 |
|
225 |
67 |
$392.04 |
| 92225 |
|
29 |
13 |
$118.94 |
| 92285 |
|
72 |
12 |
$0.00 |